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Nationwide rates for HCPCS 99328

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 high 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 patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $776.25 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $158.49 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $346.74