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Maine 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 $11 · 10th–90th $11–$130%20%40%90th$11Professionalmedian $15 · 10th–90th $10–$320%10%10th90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.98 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $38.90
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $31.62