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Assisted Living Visit, New Patient, High Complexity

Nebraska rates for HCPCS 99328

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place that provides housing and personal care rather than skilled nursing. This is the highest level, used when the patient is unstable or has serious conditions that interact, so the assessment and the decisions are extensive.

Facilitymedian $490 · 10th–90th $141$8320%20%40%10th90th$490Professionalmedian $380 · 10th–90th $141$4790%20%10th90th$380$200.0$500.0

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

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$158.49