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Rhode Island 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 $58 · 10th–90th $52–$1050%20%40%10th90th$58Professionalmedian $25 · 10th–90th $20–$480%10%20%10th90th$25$5.0$10.0$20.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $57.54 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $31.62 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $52.48