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Maryland 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
Professional
Modifier
Low / Median / High Price
$49.53 / $57.03 / $72.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $103.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.36 / $72.36 / $72.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.22 / $78.18 / $132.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $76.37 / $108.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.93 / $73.06 / $131.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $75.38 / $98.33