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Iowa rates for HCPCS 99281

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $234 · 10th–90th $36–$4900%10%10th90th$234Professionalmedian $23 · 10th–90th $7–$760%5%10th90th$23$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$81.28 / $281.84 / $489.78
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$234.42 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $75.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $70.79 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $24.55 / $43.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $27.54 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $33.11 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $30.20 / $52.48
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.30 / $50.12
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11