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Louisiana rates for HCPCS 99476

Subsequent 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
$336.56 / $396.43 / $488.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.50 / $302.50 / $316.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $382.54 / $382.54