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Indiana 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
$56.51 / $56.51 / $56.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $53.78 / $65.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.68 / $62.33 / $84.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.61 / $59.42 / $72.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $56.90 / $61.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.36 / $72.36 / $72.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.30 / $74.89 / $111.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.57 / $72.16 / $96.44