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Hawaii rates for HCPCS 99358

Prolonged evaluation and management service before and/or after direct patient care; first hour

Professionalmedian $85 · 10th–90th $68–$1320%20%10th90th$85$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $213.80
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $125.89 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $177.83
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $97.72