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Texas 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 $59 · 10th–90th $39$3310%10%20%10th90th$59Professionalmedian $48 · 10th–90th $40$600%20%10th90th$48$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
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $43.65
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $85.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $83.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $57.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $83.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $91.20