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Nebraska rates for HCPCS 99349

Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.

Facilitymedian $129 · 10th–90th $112$5750%20%10th90th$129Professionalmedian $151 · 10th–90th $83$3240%10%10th90th$151$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $112.20 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $181.97 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $128.82 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $223.87 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $269.15 / $323.59