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Nebraska 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
$1,000.00 / $1,000.00 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $741.31 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.58