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Minnesota rates for HCPCS 99475

Initial Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.93 / $507.93 / $507.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.07 / $988.49 / $3,088.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.95 / $1,908.71 / $4,591.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.95 / $1,570.83 / $3,615.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.93 / $858.40 / $1,506.87