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Massachusetts rates for HCPCS 99308

Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Facilitymedian $85 · 10th–90th $68–$1050%20%40%10th90th$85Professionalmedian $76 · 10th–90th $56–$1450%20%10th90th$76$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$67.61 / $85.11 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $72.44 / $134.90
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$14.45 / $72.44 / $75.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $165.96 / $426.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $213.80
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $81.28 / $147.91
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $128.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $162.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $165.96 / $426.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $95.50 / $194.98