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California rates for HCPCS 99474

Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient

Professionalmedian $12 · 10th–90th $7–$300%5%10%10th90th$12$5.0$20.0$100.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $15.85 / $31.62
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $16.60 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $16.22 / $33.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.49 / $24.55
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $16.98 / $38.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $13.80 / $30.20