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Washington 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–$220%10%10th90th$12$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
$7.08 / $10.96 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $18.62 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.88 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $21.88 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $40.74