go back

Michigan 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $239.88 / $263.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $123.03