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 comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high 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. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 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 | $398.11 | $676.08 | $2,290.87 | |
Cigna
| Facility | $489.78 | $691.83 | $1,621.81 | |
Cigna
| Professional | $338.84 | $426.58 | $776.25 | |
United
| Facility | $95.50 | $131.83 | $194.98 | |
United
| Professional | $128.82 | $199.53 | $316.23 |
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