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Nationwide rates for HCPCS 99326

Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of 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 presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $512.86 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $489.78 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $117.49 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $223.87