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Additional Critical Care During Pediatric Transport

Montana rates for HCPCS 99467

An add-on service for continued hands-on critical care given by a clinician who is physically present with a critically ill or injured infant or young child while they are being transported between medical facilities, covering each additional block of time beyond the initial period already provided. It reflects ongoing life-sustaining treatment and close monitoring given during the transport itself, not time spent afterward. It applies only to children age two and under.

Rates data updated July 2026.

How much does Additional Critical Care During Pediatric Transport cost?

$123

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $195 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$95.50 to $148
FacilityA hospital or hospital-owned outpatient department$195$151 to $204

How much rates vary

Facilitymedian $195 · 10th to 90th $110 to $234Professionalmedian $115 · 10th to 90th $87 to $204
$100$200facility $195professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$213.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$186.21
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$223.87

Where Montana sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 18th of 51

$123

MN $245AL $100

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.