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Nationwide rates for HCPCS 99327

Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive 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 high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver.

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

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $660.69 / $2,238.72	Facility	$389.05	$660.69	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $660.69 / $1,548.82	Facility	$467.74	$660.69	$1,548.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $741.31	Professional	$323.59	$407.38	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $162.18 / $186.21	Facility	$128.82	$162.18	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $194.98 / $302.00	Professional	$138.04	$194.98	$302.00

Nationwide rates for HCPCS 99327

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