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Pennsylvania 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $575.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $93.33 / $154.88
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $251.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $109.65 / $154.88