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Illinois rates for HCPCS 99421

Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes

Facilitymedian $23 · 10th–90th $19–$270%20%10th90th$23Professionalmedian $18 · 10th–90th $11–$440%10%10th90th$18$5.0$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
$18.62 / $23.44 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $38.90
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.38 / $21.38 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $32.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $24.55 / $48.98
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $28.84