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Missouri rates for HCPCS 99226

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high 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 unstable or has developed a significant complication or a significant new problem. Typically, 35 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
$182.44 / $410.67 / $492.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.36 / $209.36 / $232.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $480.62 / $480.62