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Pennsylvania rates for HCPCS 99350

Home or residence visit for the evaluation and management of an established 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, 60 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.27 / $155.88 / $210.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $190.74 / $268.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.40 / $211.40 / $211.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $205.96 / $380.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.37 / $183.37 / $199.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.18 / $161.62 / $227.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.66 / $162.66 / $211.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.28 / $304.72 / $380.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.08 / $181.84 / $185.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.22 / $190.08 / $303.88