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Florida rates for HCPCS 99238

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

Facilitymedian $62 · 10th–90th $58–$890%50%10th90th$62Professionalmedian $81 · 10th–90th $58–$1860%10%10th90th$81$10.0$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 / $61.66 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $144.54
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $66.07 / $81.28
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $169.82
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $57.54 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $77.62