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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
$491.71 / $491.71 / $491.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.71 / $830.89 / $1,260.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.95 / $1,046.56 / $1,434.75