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Illinois rates for HCPCS 99476

Subsequent Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.61 / $513.65 / $540.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.67 / $1,261.80 / $1,261.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $382.54 / $382.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.88 / $519.65 / $1,732.18
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00