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South Dakota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.06 / $582.05 / $797.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.45 / $745.06 / $784.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.87 / $667.81 / $880.72