go back

Virginia rates for HCPCS 99416

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; each additional 30 minutes (List separately in addition to code for prolonged service)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $5.07 / $9.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $3.97 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $6.81 / $11.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $7.38 / $12.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $11.17 / $14.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.00 / $14.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.62 / $10.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $5.71 / $9.01