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Ohio rates for HCPCS 99291

Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

Facilitymedian $3,548 · 10th–90th $263$8,7100%10%10th90th$3,548Professionalmedian $282 · 10th–90th $178$7940%20%10th90th$282$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$263.03 / $1,905.46 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$2,137.96 / $4,897.79 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $741.31
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$186.21 / $389.05 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $234.42 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $218.78 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $436.52
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $323.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $346.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $549.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,258.93 / $3,235.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $588.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $141.25
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $478.63
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $245.47 / $354.81