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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
$305.27 / $480.00 / $1,494.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.09 / $437.13 / $873.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.67 / $254.21 / $295.83

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