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California rates for HCPCS 98975

Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment

Facilitymedian $20 · 10th–90th $16–$500%10%20%10th90th$20Professionalmedian $21 · 10th–90th $17–$420%10%20%10th90th$21$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.05 / $19.95 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.38 / $45.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $275.42 / $457.09
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.30 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $204.17 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $50.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $39.81 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $257.04 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $44.67