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Montana 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
$48.05 / $56.01 / $79.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.85 / $98.85 / $98.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $88.97 / $142.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $60.11 / $103.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $110.00 / $171.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.95 / $109.08 / $131.79