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Tennessee rates for HCPCS G0459

Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy

Facilitymedian $72 · 10th–90th $45–$2570%20%10th90th$72Professionalmedian $41 · 10th–90th $28–$560%20%10th90th$41$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
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $85.11