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New York rates for HCPCS 98981

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; each additional 20 minutes (List separately in addition to code for primary procedure)

Professionalmedian $37 · 10th–90th $28–$600%10%20%10th90th$37$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $70.79
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $91.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $54.95 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $91.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $43.65 / $77.62