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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

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.68 / $531.41 / $779.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $635.70 / $1,200.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $635.70 / $1,200.00