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Massachusetts rates for HCPCS 99422

Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes

Facilitymedian $27 · 10th–90th $12–$400%20%10th90th$27Professionalmedian $35 · 10th–90th $22–$780%5%10%10th90th$35$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
$26.92 / $26.92 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $57.54 / $138.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $158.49 / $158.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $50.12 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $70.79
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $36.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $77.62
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $295.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $158.49 / $158.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $81.28