go back

Virginia 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
$635.70 / $635.70 / $635.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.04 / $675.65 / $1,894.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.96 / $673.70 / $961.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.90 / $692.42 / $1,139.04