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Wisconsin rates for HCPCS 99284

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making

Facilitymedian $1,096 · 10th–90th $355–$2,0890%10%10th90th$1,096Professionalmedian $141 · 10th–90th $89–$5500%10%10th90th$141$20.0$100.0$500.0$2.0K

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
$794.33 / $1,023.29 / $1,949.84
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $446.68
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$97.72 / $245.47 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,388.44 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $269.15 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $147.91 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $295.12 / $389.05
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $144.54 / $275.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $363.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $147.91 / $331.13
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$316.23 / $389.05 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $741.31
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$199.53 / $446.68 / $602.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $302.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $416.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $575.44 / $741.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $380.19 / $549.54
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $95.50