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Massachusetts rates for HCPCS 99341

Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.

Facilitymedian $65 · 10th–90th $52$790%20%10th90th$65Professionalmedian $52 · 10th–90th $34$760%10%10th90th$52$20.0$50.0$100.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $75.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $331.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $81.28 / $112.20
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $50.12 / $72.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $74.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $85.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $331.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $109.65