go back

Massachusetts rates for HCPCS 99238

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $89.13 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $218.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $257.04 / $645.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $109.65 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $169.82 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $190.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $77.62 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $134.90 / $194.98
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $208.93 / $1,148.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $616.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $257.04 / $645.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $109.65 / $467.74
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $204.17