Rates by insurance carrier
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Vermont rates for HCPCS 99235
Covers a doctor's evaluation and treatment of a patient who is admitted to hospital or to an observation bed and sent home on the same calendar day. It includes the history, examination, and decision-making for both the admission and the discharge. This version applies when the problem and the decisions involved are of moderate complexity.
Rates data updated July 2026.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
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