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Indiana rates for HCPCS 99458

Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes (List separately in addition to code for primary procedure)

Facilitymedian $35 · 10th–90th $28–$550%20%10th90th$35Professionalmedian $36 · 10th–90th $25–$830%10%10th90th$36$10.0$20.0$50.0$100.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $38.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $91.20
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $42.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $41.69 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $39.81 / $58.88