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Nationwide rates for HCPCS 99217

Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.91 / $220.00 / $744.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.04 / $226.99 / $453.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.68 / $289.56 / $348.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.54 / $90.86 / $96.06

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