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Iowa rates for HCPCS 99239

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

Facilitymedian $148 · 10th–90th $76–$2090%10%10th90th$148Professionalmedian $115 · 10th–90th $81–$2630%10%10th90th$115$2.0$10.0$50.0$200.0

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
$75.86 / $128.82 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $208.93 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $204.17 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $218.78 / $229.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $190.55 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $131.83 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $194.98