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Iowa rates for HCPCS 99442

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; 11-20 minutes of medical discussion

Facilitymedian $110 · 10th–90th $40–$2820%10%20%10th90th$110Professionalmedian $87 · 10th–90th $28–$5620%5%10%10th90th$87$1.0$5.0$20.0$100.0$500.0

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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $173.78 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $407.38 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $239.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $61.66 / $120.23