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Texas 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 $48 · 10th–90th $27–$1070%5%10%10th90th$48Professionalmedian $42 · 10th–90th $28–$630%10%10th90th$42$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
$28.18 / $37.15 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $89.13 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $70.79
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $79.43
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $44.67 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $64.57