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Indiana rates for HCPCS 99476

Subsequent Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.70 / $292.70 / $292.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.66 / $370.63 / $432.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $382.54 / $382.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.91 / $461.91 / $461.91