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Observation Follow-Up Visit, High Complexity

Oklahoma rates for HCPCS 99226

A follow-up visit by the doctor to a patient under observation in hospital whose condition is unstable or has worsened. It covers a detailed reassessment, a full review of new findings, and complex decisions about changing treatment or moving to a full admission.

Facilitymedian $209 · 10th–90th $79$2340%50%10th90th$209Professionalmedian $107 · 10th–90th $85$1480%10%20%10th90th$107$100.0$200.0$500.0

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$138.04