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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
$467.46 / $735.00 / $2,339.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.48 / $687.72 / $1,373.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.34 / $399.94 / $465.43