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Texas 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 $407 · 10th–90th $68–$4070%50%10th$407Professionalmedian $60 · 10th–90th $23–$5620%5%10%10th90th$60$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
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $389.05
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $107.15 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $46.77 / $100.00