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.
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 | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS
| Facility | $199.53 | $338.84 | $1,122.02 | |
Cigna
| Facility | $239.88 | $338.84 | $812.83 | |
Cigna
| Professional | $165.96 | $208.93 | $389.05 | |
United
| Facility | $54.95 | $75.86 | $97.72 | |
United
| Professional | $63.10 | $97.72 | $154.88 |
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