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Nationwide rates for HCPCS 99325

Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low 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 presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.03 / $292.50 / $861.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.38 / $250.59 / $500.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $145.72 / $169.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $51.00

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