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Missouri 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
$193.41 / $193.41 / $193.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.61 / $99.06 / $146.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $129.82 / $201.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.40 / $154.79 / $250.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.34 / $142.55 / $224.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $143.71 / $1,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.89 / $128.08 / $190.68