go back

New Hampshire 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 / $56.23 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $102.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $165.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $64.57 / $79.43