go back

California 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
Professional
Modifier
Low / Median / High Price
$129.21 / $154.81 / $186.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $1,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.81 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.93 / $183.93 / $183.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.13 / $33.13 / $33.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $102.73 / $102.73