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Michigan rates for HCPCS 99476

Subsequent Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.48 / $346.48 / $445.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.97 / $500.97 / $500.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $382.54 / $382.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.07 / $332.07 / $441.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.95 / $456.95 / $456.95