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Michigan 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 $35 · 10th–90th $28–$1100%50%10th90th$35Professionalmedian $79 · 10th–90th $34–$2040%10%10th90th$79$10.0$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
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $32.36 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $72.44 / $147.91