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Michigan 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 $15 · 10th–90th $13$220%20%10th90th$15Professionalmedian $15 · 10th–90th $10$330%10%10th90th$15$5.0$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. 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 / $14.45 / $35.48
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
$11.48 / $15.14 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $23.99
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.78 / $42.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $39.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.14 / $29.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $25.70