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Wisconsin rates for HCPCS 99239

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

Facilitymedian $107 · 10th–90th $83$3470%20%10th90th$107Professionalmedian $112 · 10th–90th $79$3800%10%10th90th$112$1.0$5.0$20.0$100.0$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
$72.44 / $107.15 / $208.93
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $309.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $218.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $346.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $363.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $218.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $245.47 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $138.04
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $213.80
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $204.17 / $323.59
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $354.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $524.81 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $331.13 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $251.19 / $346.74