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Michigan 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
$574.78 / $574.78 / $739.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.15 / $826.15 / $826.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.70 / $635.70 / $635.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.40 / $547.40 / $730.08