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Illinois rates for HCPCS 99475

Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age

Facilitymedian $851 · 10th–90th $813–$8710%50%10th90th$851Professionalmedian $2,089 · 10th–90th $589–$2,7540%10%20%10th90th$2,089$100.0$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
$812.83 / $851.14 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,949.84 / $2,344.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $2,089.30 / $2,754.23
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00