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Texas 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
$432.93 / $451.75 / $489.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.22 / $348.22 / $372.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.80 / $451.80 / $451.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.47 / $1,795.39 / $1,927.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.80 / $432.93 / $756.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.80 / $434.81 / $861.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.12 / $857.82 / $857.82