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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 $105.06 / $137.82 / $215.64	Professional	$105.06	$137.82	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $244.16 / $298.16	Facility	$244.16	$244.16	$298.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $200.51 / $250.63	Professional	$200.51	$200.51	$250.63
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $80.09 / $107.17	Professional	$77.59	$80.09	$107.17

Nationwide rates for HCPCS 99343

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