go back

Ohio 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.58 / $38,499.62 / $52,499.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,987.88 / $2,987.88 / $2,987.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.49 / $146.81 / $294.30