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Utah 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
$66.94 / $66.94 / $66.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.26 / $57.69 / $82.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $89.71 / $138.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $88.89 / $160.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $73.15 / $98.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.21 / $76.40 / $115.25