Critical care interfacility transport supervision for infants under two

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

<24 MOS-TRANSP EA ADL 30MIN

Payers reporting CPT 99486

Payer pricing summary

Low

Average

$166

Median

$102

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	202	$59	$173	$199	115%	—	$38 – $646
2	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	113	$211	$231	$92	40%	—	$0 – $470
3	Aetna fee schedule · outpatient · +15 other terms	84	$62	$511	$1.5k	295%	—	$48 – $8.4k
4	UnitedHealthcare fee schedule · outpatient · +20 other terms	83	$62	$84	$32	38%	—	$54 – $190
5	Anthem fee schedule · outpatient · +12 other terms	54	$62	$62	$2	3%	—	$55 – $64
6	Cigna fee schedule · outpatient · +16 other terms	46	$65	$84	$31	37%	—	$55 – $183
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$270	$247	$91	37%	—	$79 – $455
8	Kaiser fee schedule · outpatient · +6 other terms	29	$62	$74	$31	42%	—	$55 – $139
9	Molina facility · case rate · outpatient · +9 other terms	25	$61	$67	$22	32%	—	$29 – $112
10	Devoted fee schedule · outpatient · +5 other terms	21	$62	$59	$3	6%	—	$55 – $62
11	Caresource facility · case rate · outpatient · +5 other terms	20	$67	$74	$20	27%	—	$42 – $109
12	Medicare fee schedule · outpatient	18	$55	$55	—	—	—	$55 – $55
13	WellCare case rate · outpatient · +6 other terms	14	$59	$58	$2	3%	—	$56 – $61
14	Wellmark fee schedule · both · +4 other terms	13	$126	$125	$6	5%	—	$89 – $126
15	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$46	$51	$6	12%	—	$46 – $59
16	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$113	$122	$46	38%	—	$59 – $256
17	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$62	$62	—	—	—	$62 – $62
18	Highmark fee schedule · outpatient · +5 other terms	12	$90	$93	$18	19%	—	$58 – $224
19	Medica fee schedule · outpatient · +9 other terms	12	$213	$212	$59	28%	—	$97 – $282
20	Optum facility · case rate · outpatient · +4 other terms	12	$59	$64	$13	21%	—	$53 – $96
21	Medicaid fee schedule · outpatient	11	$125	$119	$20	17%	—	$56 – $125
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$55	$67	$14	21%	—	$55 – $86
23	Tricare fee schedule · outpatient · +5 other terms	10	$67	$67	—	—	—	$67 – $67
24	Ambetter facility · fee schedule · outpatient · +6 other terms	9	$98	$94	$12	12%	—	$61 – $98
25	Ucare fee schedule · both · +5 other terms	9	$61	$61	$2	3%	—	$59 – $62

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