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Nationwide rates for HCPCS 99354

Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215])

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.08 / $300.80 / $387.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.20 / $120.20 / $150.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.62 / $388.83 / $687.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.40 / $485.60 / $590.40

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