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Alaska rates for HCPCS 99223

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 high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

Facilitymedian $324 · 10th–90th $204–$5130%10%10th90th$324Professionalmedian $200 · 10th–90th $145–$4270%10%10th90th$200$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $354.81 / $741.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $457.09 / $891.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $489.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $269.15 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $257.04 / $562.34