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Illinois 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.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.88 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $64.57
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$7.76 / $7.76 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $181.97 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $60.26 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $138.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $48.98 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $83.18