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Vermont rates for HCPCS 99231

Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $61.80 / $83.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $53.04 / $86.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.22 / $53.57 / $87.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.22 / $59.73 / $92.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.62 / $52.85 / $144.69