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Massachusetts 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 $32 · 10th–90th $14–$510%10%20%10th90th$32Professionalmedian $47 · 10th–90th $27–$1000%5%10%10th90th$47$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
$32.36 / $32.36 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $107.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $190.55 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $47.86 / $87.10
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $45.71
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.90 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $57.54 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $190.55 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $104.71
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $44.67 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $107.15