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Delaware rates for HCPCS 99238

Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter

Facilitymedian $151 · 10th–90th $58–$2000%20%10th90th$151Professionalmedian $85 · 10th–90th $56–$1820%10%20%10th90th$85$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $151.36 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $125.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $223.87 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $79.43 / $131.83