| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $132.58 | $132.58 | $132.58 | |
Health Alliance Plan
| Facility | $90.19 | $90.19 | $90.19 | |
Health Alliance Plan
| Professional | $90.19 | $92.23 | $120.17 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $132.58 | $132.58 | $132.58 | |
Health Alliance Plan
| Facility | $90.19 | $90.19 | $90.19 | |
Health Alliance Plan
| Professional | $90.19 | $92.23 | $120.17 |