go back

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
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58