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Monthly Care Oversight For Nursing Facility Patients

Florida rates for HCPCS 99380

Time a doctor spends across a calendar month directing the care of a patient living in a nursing facility, without a face-to-face visit. The work includes reading the facility staff's notes and test results, adjusting the care plan and medicines, and speaking with the facility team and the family.

Rates data updated July 2026.

Facilitymedian $85 · 10th–90th $72$1620%20%10th90th$85Professionalmedian $85 · 10th–90th $69$1100%20%10th90th$85$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$107.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$89.13
AvMed
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$173.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$104.71