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Indiana 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])

Facilitymedian $117 · 10th–90th $93–$43,6520%10%20%10th90th$117Professionalmedian $117 · 10th–90th $79–$3390%10%10th90th$117$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $154.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $38,904.51 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $165.96