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Massachusetts rates for HCPCS 99497

Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $82.93 / $124.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $77.62 / $179.47
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$114.81 / $221.90 / $264.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.32 / $368.17 / $368.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.59 / $155.60 / $477.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.81 / $85.81 / $108.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.95 / $143.87 / $190.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.27 / $100.27 / $100.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $139.54 / $226.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $75.36 / $96.04
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $83.06 / $136.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.76 / $188.18 / $233.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $140.56 / $208.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.17 / $368.17 / $368.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.33 / $151.16 / $525.69
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.03 / $89.65 / $154.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $121.13 / $221.02
United
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$83.64 / $83.64 / $99.10