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New York 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
$430.99 / $624.71 / $997.09
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.48 / $800.48 / $800.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.70 / $635.70 / $635.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $430.00 / $860.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.42 / $521.42 / $521.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $635.70 / $635.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.42 / $521.42 / $521.42