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Florida rates for HCPCS 99307

Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $37 · 10th–90th $34–$460%50%10th90th$37Professionalmedian $39 · 10th–90th $30–$590%10%20%10th90th$39$10.0$20.0$50.0$100.0

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
$33.88 / $37.15 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.90 / $58.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$7.76 / $7.76 / $36.31
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $36.31 / $43.65
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $39.81 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $50.12 / $123.03
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $31.62 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $43.65