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Louisiana 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 $39 · 10th–90th $30$680%20%10th90th$39Professionalmedian $37 · 10th–90th $25$910%10%10th90th$37$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
$30.20 / $38.90 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $93.33
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $31.62 / $40.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $57.54