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Alaska rates for HCPCS 99221

Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.

Facilitymedian $162 · 10th–90th $95–$2570%10%10th90th$162Professionalmedian $120 · 10th–90th $68–$2240%10%10th90th$120$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $162.18 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $186.21 / $371.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $446.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $134.90 / $245.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $323.59