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Iowa 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $163.66 / $204.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $347.07 / $347.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $135.13 / $193.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $144.55 / $183.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $143.94 / $195.74