go back

Texas 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.07 / $291.07 / $348.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.29 / $341.79 / $341.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.30 / $132.30 / $214.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $106.49 / $260.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $72.20 / $85.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $50.40 / $50.40