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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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.80 / $295.00 / $950.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.48 / $302.28 / $603.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $175.79 / $204.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $86.09 / $350.19

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