| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $251.19 | $478.63 | $707.95 | |
Midlands
| Professional | $489.78 | $660.69 | $660.69 | |
Sanford Health Plan
| Professional | $416.87 | $549.54 | $741.31 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $251.19 | $478.63 | $707.95 | |
Midlands
| Professional | $489.78 | $660.69 | $660.69 | |
Sanford Health Plan
| Professional | $416.87 | $549.54 | $741.31 |