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Massachusetts rates for HCPCS 99345

Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

Facilitymedian $257 · 10th–90th $214–$3240%20%10th90th$257Professionalmedian $214 · 10th–90th $145–$3020%10%10th90th$214$100.0$200.0$500.0$1.0K

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
$213.80 / $257.04 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $302.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $1,348.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $331.13 / $457.09
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $309.03
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $309.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $1,348.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $251.19 / $371.54