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Texas 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
$457.09 / $457.09 / $691.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,174.90