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Wisconsin 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 $28 · 10th–90th $21–$600%10%10th90th$28Professionalmedian $31 · 10th–90th $21–$810%10%10th90th$31$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
$20.89 / $46.77 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $66.07
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $43.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $63.10 / $85.11
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $52.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $57.54 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $181.97
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
$21.88 / $40.74 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $91.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $74.13 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $51.29 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $72.44 / $97.72