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Massachusetts 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.91 / $552.91 / $552.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.71 / $2,710.30 / $2,710.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.70 / $635.70 / $635.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.66 / $654.66 / $654.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.71 / $2,710.30 / $2,710.30