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Wisconsin rates for HCPCS 99218

Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to outpatient hospital "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $288.40 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $602.56 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $162.18