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Nebraska 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 $174 · 10th–90th $0–$2820%20%40%10th90th$174Professionalmedian $85 · 10th–90th $28–$4070%10%10th90th$85$0.1$0.2$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
$128.82 / $218.78 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $407.38 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $46.77
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
$0.03 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $75.86 / $128.82