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Virginia rates for HCPCS 99441

Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $13 · 10th–90th $9–$430%10%20%10th90th$13Professionalmedian $28 · 10th–90th $12–$710%5%10th90th$28$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $77.62 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $26.30 / $64.57