| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $383.06 | $582.05 | $797.42 | |
Midlands
| Facility | $575.45 | $745.06 | $784.55 | |
Sanford Health Plan
| Professional | $485.87 | $667.81 | $880.72 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $383.06 | $582.05 | $797.42 | |
Midlands
| Facility | $575.45 | $745.06 | $784.55 | |
Sanford Health Plan
| Professional | $485.87 | $667.81 | $880.72 |