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Nationwide rates for HCPCS 99224

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; 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 patient is stable, recovering, or improving. Typically, 15 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
$97.72 / $134.90 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $39.81 / $64.57