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Massachusetts rates for HCPCS 99417

Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $33.86 / $118.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $40.31 / $336.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.27 / $145.91 / $145.91
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $57.59 / $190.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.17 / $56.86 / $189.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.92 / $39.92 / $39.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $50.00 / $72.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $29.92 / $38.13
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $30.97 / $51.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $73.41 / $93.85
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.04 / $94.33 / $94.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $62.21 / $234.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.91 / $145.91 / $145.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $56.37 / $197.08
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $32.97 / $62.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.89 / $45.55 / $78.47