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Rhode Island rates for HCPCS 99358

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

Facilitymedian $209 · 10th–90th $191–$2630%20%10th90th$209Professionalmedian $87 · 10th–90th $68–$1350%20%10th90th$87$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $87.10 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $208.93 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $141.25 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $177.83