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Nebraska 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
$296.20 / $296.20 / $296.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.20 / $497.27 / $759.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.12 / $630.09 / $884.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35