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South Carolina 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $851.14 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,122.02