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Washington 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
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.37 / $209.36 / $209.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.62 / $480.62 / $480.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.13 / $183.13 / $230.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.40 / $157.55 / $227.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $163.28 / $240.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.69 / $194.54 / $201.28