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Florida rates for HCPCS 99359

Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)

Facilitymedian $50 · 10th–90th $42–$600%20%10th90th$50Professionalmedian $45 · 10th–90th $32–$850%10%20%10th90th$45$10.0$20.0$50.0$100.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $44.67 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $47.86
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $60.26 / $104.71
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.90 / $40.74