| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.08 | $56.76 | $72.20 | |
BCBS
| Professional | $91.00 | $113.00 | $113.00 | |
Cigna
| Professional | $58.36 | $99.01 | $143.83 | |
United
| Professional | $74.48 | $118.42 | $188.87 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.08 | $56.76 | $72.20 | |
BCBS
| Professional | $91.00 | $113.00 | $113.00 | |
Cigna
| Professional | $58.36 | $99.01 | $143.83 | |
United
| Professional | $74.48 | $118.42 | $188.87 |