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Indiana rates for HCPCS 99467

Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.33 / $104.33 / $104.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.66 / $99.78 / $120.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $116.60 / $158.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.69 / $127.31 / $148.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.44 / $123.10 / $159.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.91 / $135.02 / $212.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.16 / $122.35 / $168.90