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Iowa 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 $55 · 10th–90th $26–$720%10%10th90th$55Professionalmedian $37 · 10th–90th $27–$620%10%10th90th$37$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
$25.70 / $54.95 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $58.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$7.76 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $60.26 / $158.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $75.86 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $97.72
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23