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Michigan 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
$65.53 / $65.53 / $65.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.05 / $57.69 / $66.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.62 / $93.62 / $93.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $98.30 / $117.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.36 / $72.36 / $72.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $77.84 / $201.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.47 / $64.47 / $84.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $65.53 / $87.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $61.81 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.61 / $75.81 / $96.50