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Missouri 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
$103.21 / $107.79 / $107.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.72 / $53.83 / $77.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $63.72 / $112.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $86.12 / $147.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.92 / $77.04 / $122.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $81.27 / $404.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.52 / $72.89 / $110.33