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Missouri 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 $38 · 10th–90th $26–$590%10%10th90th$38Professionalmedian $37 · 10th–90th $25–$890%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
$33.11 / $46.77 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $93.33
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$41.69 / $41.69 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.90 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $56.23
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
$30.90 / $44.67 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $34.67 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $251.19
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $60.26
Qualchoice
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
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
$28.18 / $39.81 / $61.66