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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

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	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $239.88	Facility	$75.86	$114.82	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $83.18 / $114.82	Professional	$67.61	$83.18	$114.82
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.45 / $3.09 / $7.76	Facility	$2.45	$3.09	$7.76
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.45 / $102.33 / $177.83	Professional	$2.45	$102.33	$177.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $323.59 / $891.25	Facility	$131.83	$323.59	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $239.88	Professional	$85.11	$131.83	$239.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $138.04	Facility	$72.44	$97.72	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $190.55	Professional	$77.62	$109.65	$190.55

Nationwide rates for HCPCS 99380

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