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Pennsylvania rates for HCPCS 99378

Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.26 / $127.55 / $155.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $80.48 / $103.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.90 / $105.74 / $188.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.46 / $113.46 / $113.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $115.98 / $189.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.36 / $184.36 / $184.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.64 / $151.25 / $220.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.26 / $80.48 / $369.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.26 / $87.10 / $178.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.80 / $200.30 / $256.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.46 / $113.46 / $113.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $114.87 / $189.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $126.20 / $126.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.82 / $118.32 / $192.65