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New Hampshire 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
$359.28 / $359.28 / $359.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.19 / $118.93 / $187.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $137.07 / $219.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.55 / $195.63 / $301.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.01 / $199.81 / $392.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.15 / $176.50 / $328.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $100.54 / $127.96