go back

Kentucky 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 $10 · 10th–90th $6–$150%10%10th90th$10$5.0$10.0$20.0$50.0

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
$6.03 / $10.00 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.51 / $12.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.60 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.59 / $20.89