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Home Visit, New Patient, Moderate Complexity

Virginia rates for HCPCS 99343

A first visit by a doctor or other qualified provider to a patient in the patient's own home, at a moderate level of complexity. It involves a detailed history and examination and decision-making about a problem of moderate severity, for someone the provider has not seen before.

Rates data updated July 2026.

How much rates vary

Professionalmedian $95 · 10th to 90th $95 to $95
$100professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50