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Nationwide rates for HCPCS 99343

Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and 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, 45 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $213.80	Professional	$107.15	$138.04	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility	$257.04	$257.04	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $398.11	Professional	$177.83	$251.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $131.83	Facility	$77.62	$114.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $194.98	Professional	$89.13	$123.03	$194.98

Nationwide rates for HCPCS 99343

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