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Michigan 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 $26 · 10th–90th $23–$280%20%10th90th$26Professionalmedian $27 · 10th–90th $21–$550%10%20%10th90th$27$0.5$2.0$10.0$50.0

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
$22.91 / $23.44 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $35.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $27.54 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $41.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $51.29
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $41.69