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North Carolina 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 $11$290%10%20%10th90th$15Professionalmedian $21 · 10th–90th $12$380%5%10%10th90th$21$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
$12.02 / $34.67 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $38.02
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
$12.59 / $15.85 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $38.02
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
$14.13 / $19.95 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.79 / $23.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $37.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $20.89 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $25.70
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33