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Utah 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
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $102.33 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $120.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $85.11 / $138.04