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New York 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 $89 · 10th–90th $62–$1480%20%40%10th90th$89Professionalmedian $71 · 10th–90th $49–$1320%20%10th90th$71$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$69.18 / $89.13 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $131.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$14.45 / $69.18 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $57.54 / $128.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $95.50 / $346.74
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $72.44 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $234.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $69.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $60.26 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $169.82
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $69.18 / $144.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $60.26 / $213.80