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Texas rates for HCPCS 99347

Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Facilitymedian $48 · 10th–90th $37–$3390%20%10th90th$48Professionalmedian $49 · 10th–90th $36–$590%20%10th90th$49$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $58.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.02 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $36.31 / $38.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $53.70 / $83.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $45.71 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $45.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $45.71 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $46.77 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $85.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67