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Pennsylvania 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
$93.76 / $93.76 / $93.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $98.33 / $141.94
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.02 / $119.36 / $216.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.51 / $141.85 / $223.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.67 / $249.67 / $249.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $171.06 / $304.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $166.46 / $166.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.76 / $93.76 / $93.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.50 / $118.13 / $200.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.80 / $227.70 / $291.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.51 / $141.05 / $223.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $115.01 / $119.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.90 / $131.87 / $224.50