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Ohio 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 $132 · 10th–90th $95–$1580%50%10th90th$132Professionalmedian $81 · 10th–90th $33–$1620%10%10th90th$81$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $338.84 / $549.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $123.03 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $79.43 / $151.36