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Tennessee 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
$49.26 / $57.03 / $71.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.36 / $72.36 / $72.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.61 / $84.64 / $126.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $139.00 / $309.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.24 / $404.24 / $404.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.06 / $72.38 / $123.19