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Oregon 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 $398 · 10th–90th $269–$4370%50%10th90th$398Professionalmedian $240 · 10th–90th $182–$4680%10%10th90th$240$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $416.87 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $501.19 / $588.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $316.23 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $380.19 / $549.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $416.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $316.23 / $436.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $371.54 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $363.08 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $436.52 / $645.65