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Maine rates for HCPCS 99355

Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; each additional 30 minutes (List separately in addition to code for prolonged service)

Professionalmedian $79 · 10th–90th $74–$3800%20%40%10th90th$79$100.0$200.0$500.0

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
$91.20 / $112.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $79.43 / $85.11