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Iowa rates for HCPCS 99285

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

Facilitymedian $1,549 · 10th–90th $324–$3,7150%5%10%10th90th$1,549Professionalmedian $182 · 10th–90th $117–$6310%10%10th90th$182$10.0$50.0$200.0$1.0K$5.0K

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
$323.59 / $1,584.89 / $2,818.38
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$478.63 / $1,698.24 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $602.56
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$158.49 / $331.13 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $316.23 / $478.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $407.38
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$467.74 / $489.78 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$223.87 / $354.81 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $457.09
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $95.50 / $245.47