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Washington 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 $52 · 10th–90th $32–$2340%10%10th90th$52Professionalmedian $56 · 10th–90th $33–$2290%10%10th90th$56$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
$229.09 / $398.11 / $549.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $85.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $213.80 / $257.04
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $165.96 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $25.12 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $194.98