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Maryland rates for HCPCS 99443

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; 21-30 minutes of medical discussion

Facilitymedian $38 · 10th–90th $27–$850%10%10th90th$38Professionalmedian $79 · 10th–90th $32–$1740%5%10th90th$79$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $208.93 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $75.86 / $141.25