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Florida rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $26 · 10th–90th $10–$380%10%20%10th90th$26Professionalmedian $13 · 10th–90th $10–$270%10%10th90th$13$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $26.30 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $26.30
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $18.20
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.12 / $10.00
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.48 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.98 / $32.36
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.30 / $16.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.23 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $22.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $14.13