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Vermont rates for HCPCS 98968

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; 21-30 minutes of medical discussion

Facilitymedian $36 · 10th–90th $29–$420%20%40%10th90th$36Professionalmedian $36 · 10th–90th $30–$490%20%10th90th$36$50.0$100.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $79.43
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $44.67 / $83.18