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Nationwide rates for HCPCS 99318

Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient's facility floor or unit.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $1,047.13	Facility	$186.21	$316.23	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $812.83	Facility	$239.88	$338.84	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $389.05	Professional	$165.96	$208.93	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $53.70 / $95.50	Facility	$30.90	$53.70	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $151.36	Professional	$56.23	$93.33	$151.36

Nationwide rates for HCPCS 99318

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