| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.20 | $296.20 | $296.20 | |
Medica
| Facility | $296.20 | $497.27 | $759.51 | |
Midlands
| Facility | $488.12 | $630.09 | $884.23 | |
United
| Facility | $0.35 | $0.35 | $0.35 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.20 | $296.20 | $296.20 | |
Medica
| Facility | $296.20 | $497.27 | $759.51 | |
Midlands
| Facility | $488.12 | $630.09 | $884.23 | |
United
| Facility | $0.35 | $0.35 | $0.35 |