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Missouri 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
$554.03 / $565.90 / $565.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.65 / $408.82 / $643.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.95 / $456.95 / $456.95