go back

West Virginia 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 $977 · 10th–90th $513–$2,7540%20%10th90th$977Professionalmedian $324 · 10th–90th $129–$1,0230%20%10th90th$324$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
$338.84 / $954.99 / $3,090.30
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$660.69 / $1,000.00 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $309.03 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$144.54 / $380.19 / $1,096.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $239.88 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$208.93 / $223.87 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $177.83 / $309.03
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $79.43 / $245.47