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Idaho 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 $79 · 10th–90th $45–$1230%5%10%10th90th$79Professionalmedian $59 · 10th–90th $39–$1050%10%10th90th$59$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
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $77.62 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $64.57 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $95.50