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Wisconsin 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

Facilitymedian $479 · 10th–90th $316–$1,0000%5%10%10th90th$479Professionalmedian $813 · 10th–90th $468–$1,1750%10%10th90th$813$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $1,905.46
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $851.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $812.83 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63