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Oklahoma rates for HCPCS 99472

Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.67 / $321.67 / $321.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.80 / $395.91 / $765.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.40 / $857.82 / $857.82