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Kentucky 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 $12 · 10th–90th $11–$190%20%10th90th$12Professionalmedian $13 · 10th–90th $10–$300%10%20%10th90th$13$10.0$20.0$50.0

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
$10.96 / $10.96 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $31.62
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $19.50
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.50 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $19.50 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $23.44