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South Dakota 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
$56.23 / $64.57 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $102.33 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $147.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $169.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $151.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36