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Montana rates for HCPCS 99485

Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with transport team before transport, at the referring facility and during the transport, including data interpretation and report; first 30 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $64.05 / $91.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.69 / $114.10 / $114.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.10 / $114.10 / $114.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.29 / $102.69 / $163.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.81 / $69.50 / $119.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $126.29 / $196.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $127.02 / $144.55