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Montana 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
$87.59 / $100.15 / $141.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.26 / $181.40 / $181.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.40 / $181.40 / $181.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.28 / $163.95 / $249.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.66 / $133.00 / $219.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.27 / $198.14 / $310.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $196.04 / $223.07