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Iowa rates for HCPCS 99238

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

Facilitymedian $102 · 10th–90th $54–$1480%10%10th90th$102Professionalmedian $85 · 10th–90th $60–$1860%10%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
$52.48 / $72.44 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $141.25 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $117.49 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $151.36 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $134.90 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $138.04