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Wisconsin 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 $14 · 10th–90th $11$350%10%10th90th$14Professionalmedian $17 · 10th–90th $11$410%10%10th90th$17$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
$10.96 / $23.44 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $32.36
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $32.36 / $42.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $27.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $93.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $20.42 / $33.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $46.77
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $81.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $36.31 / $93.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $17.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $50.12