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Michigan rates for HCPCS 99324

Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. 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 presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver.

Facilitymedian $145 · 10th–90th $59–$1580%20%10th90th$145Professionalmedian $63 · 10th–90th $55–$780%20%10th90th$63$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $144.54 / $158.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $63.10 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $72.44