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Maryland 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $382.54 / $382.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.16 / $411.65 / $681.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.83 / $265.83 / $265.83