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Massachusetts 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 $13 · 10th–90th $6$190%10%20%10th90th$13Professionalmedian $17 · 10th–90th $11$390%5%10%10th90th$17$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
$12.88 / $12.88 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $41.69
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$25.12 / $44.67 / $44.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $81.28 / $81.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.95 / $36.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $12.30 / $17.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.80 / $23.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $38.90
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $21.88 / $28.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $81.28 / $81.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.50 / $40.74