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Ohio rates for HCPCS 99235

Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, 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, 70 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $288.40
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$309.03 / $870.96 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $194.98 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $213.80 / $213.80