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Maine 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
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $281.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $239.88