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Virginia 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 $28–$4680%10%20%10th90th$37Professionalmedian $42 · 10th–90th $29–$650%10%10th90th$42$10.0$50.0$200.0$1.0K$5.0K

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
$28.18 / $36.31 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $53.70 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $83.18