go back

Pennsylvania 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $21.88 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.50 / $30.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $29.51 / $56.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $53.70
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $46.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.30 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $64.57
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.39 / $27.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $56.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $46.77 / $58.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $23.44 / $33.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $22.91 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $27.54 / $45.71