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Maryland 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.70 / $635.70 / $635.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.85 / $678.30 / $1,090.29