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Connecticut rates for HCPCS 99486

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; each additional 30 minutes (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.65 / $79.65 / $79.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $57.69 / $82.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $88.15 / $150.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $91.29 / $153.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $93.72 / $128.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $81.70 / $121.24