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Florida rates for HCPCS 98967

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; 11-20 minutes of medical discussion

Facilitymedian $49 · 10th–90th $21–$590%20%40%10th90th$49Professionalmedian $26 · 10th–90th $20–$550%20%10th90th$26$0.1$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
$20.89 / $48.98 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $34.67
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $18.62
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $61.66
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $19.95 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $44.67
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $25.70