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Massachusetts rates for HCPCS 99232

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 moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $89.25 / $119.12
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$76.13 / $76.13 / $76.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.96 / $82.40 / $171.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.19 / $192.82 / $650.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$38.58 / $38.58 / $38.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $104.78 / $459.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.61 / $177.48 / $238.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.64 / $147.74 / $196.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.17 / $114.96 / $183.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.66 / $84.66 / $5,733.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.84 / $84.66 / $136.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $172.36 / $233.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $1,541.55 / $1,684.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $130.00 / $198.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $172.40 / $385.75
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$38.58 / $38.58 / $38.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $116.31 / $459.05
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.12 / $79.50 / $144.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $97.57 / $196.98