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New York 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–$240%10%10th90th$12$5.0$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
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.49 / $25.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $17.78 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $28.18 / $40.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $20.89 / $35.48
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.38 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $17.38 / $42.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $30.90