go back

Virginia 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 $28–$600%10%10th90th$39Professionalmedian $39 · 10th–90th $26–$830%5%10%10th90th$39$5.0$20.0$100.0$500.0$2.0K

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
$30.90 / $30.90 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $72.44
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $61.66
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $45.71 / $64.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $63.10
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $58.88
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $69.18