| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $295.12 | $575.44 | $831.76 | |
Midlands
| Professional | $575.44 | $776.25 | $776.25 | |
Sanford Health Plan
| Professional | $489.78 | $645.65 | $870.96 |
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 | $295.12 | $575.44 | $831.76 | |
Midlands
| Professional | $575.44 | $776.25 | $776.25 | |
Sanford Health Plan
| Professional | $489.78 | $645.65 | $870.96 |