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Nationwide rates for HCPCS 99335

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low 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 low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.93 / $317.50 / $1,015.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.35 / $303.41 / $605.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.27 / $176.45 / $205.34

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