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Michigan 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
$120.81 / $120.81 / $150.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $110.71 / $150.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.67 / $170.81 / $380.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.30 / $179.35 / $213.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.75 / $137.79 / $365.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.50 / $117.70 / $150.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.40 / $120.81 / $167.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $102.21 / $147.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.72 / $132.79 / $170.04