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Minnesota 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 $295 · 10th–90th $195–$6310%10%20%10th90th$295Professionalmedian $182 · 10th–90th $98–$3310%5%10%10th90th$182$20.0$50.0$100.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $323.59
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $630.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $281.84 / $562.34
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$218.78 / $218.78 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $75.86 / $151.36