go back

Wisconsin 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 $372 · 10th–90th $229–$5250%20%10th90th$372Professionalmedian $331 · 10th–90th $120–$7760%10%10th90th$331$100.0$500.0$2.0K$10.0K

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
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $380.19 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $331.13 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $776.25 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $87.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $371.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $147.91