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Assisted Living Follow-Up Visit, High Complexity

New York rates for HCPCS 99337

A follow-up visit by a doctor or other qualified provider to a patient they already care for who lives in an assisted living residence, rest home, or similar place that provides housing and personal care rather than skilled nursing. This is the most involved level of follow-up, used when problems have become serious or unstable and a long, thorough visit is needed.

Rates data updated October 2026.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $269 · 10th to 90th $269 to $269
$0.1$1$10$100facility $0professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CDPHP
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$144.54
Median
$144.54
Typical High
$144.54