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Nebraska 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
$103.58 / $103.58 / $103.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $103.58 / $118.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.53 / $179.78 / $242.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.96 / $228.97 / $356.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.58 / $176.09 / $270.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $224.91 / $1,082.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.43 / $219.80 / $305.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.43 / $223.06 / $305.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.80 / $217.30 / $291.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $207.61 / $285.42