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.
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 | $281.84 | $478.63 | $1,621.81 | |
Cigna
| Facility | $338.84 | $478.63 | $1,148.15 | |
Cigna
| Professional | $234.42 | $295.12 | $549.54 | |
United
| Facility | $75.86 | $107.15 | $138.04 | |
United
| Professional | $87.10 | $138.04 | $218.78 |
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