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Maine 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
$48.98 / $57.54 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $83.18 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $154.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $69.18 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $134.90