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Nationwide rates for HCPCS 99380

Supervision of a nursing facility 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $89.06 / $127.55	Facility	$75.95	$89.06	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $83.19 / $105.21	Professional	$69.17	$83.19	$105.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $82.67 / $159.55	Facility	$78.12	$82.67	$159.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $99.26 / $157.68	Professional	$75.44	$99.26	$157.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $133.35	Facility	$113.46	$113.46	$133.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $119.79 / $187.23	Professional	$82.59	$119.79	$187.23
United Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $122.71 / $198.64	Professional	$91.70	$122.71	$198.64

Nationwide rates for HCPCS 99380

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