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Nationwide rates for HCPCS 99336

Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate 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 moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.61 / $447.50 / $1,455.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.98 / $429.26 / $857.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.41 / $249.64 / $290.51

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