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Ohio 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

Facilitymedian $676 · 10th–90th $427$8510%20%40%10th90th$676$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $537.03 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $851.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $1,202.26