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Tennessee rates for HCPCS 98980

Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication with the patient or caregiver during the calendar month; first 20 minutes

Facilitymedian $93 · 10th–90th $45$1950%20%40%10th90th$93Professionalmedian $44 · 10th–90th $28$620%10%20%10th90th$44$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $60.26 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $58.88
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $40.74 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $46.77 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $91.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $79.43