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Nationwide rates for HCPCS 99415

Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.40 / $15.03 / $20.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $9.60 / $21.04
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$18.64 / $18.64 / $18.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.13 / $59.13 / $59.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $14.79 / $22.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.12 / $23.12 / $23.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $14.62 / $31.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.74 / $23.74 / $23.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $11.51 / $21.47