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Massachusetts rates for HCPCS 99315

Nursing facility discharge management; 30 minutes or less total time on the date of the encounter

Facilitymedian $87 · 10th–90th $71–$1070%20%10th90th$87Professionalmedian $81 · 10th–90th $60–$1410%20%10th90th$81$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$70.79 / $87.10 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $75.86 / $107.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $190.55 / $446.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $223.87
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $87.10 / $158.49
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $97.72 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $173.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $190.55 / $446.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $102.33 / $204.17