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South Dakota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $794.33 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,230.27