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Michigan rates for HCPCS 99292

Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)

Facilitymedian $186 · 10th–90th $117$1,8620%10%20%10th90th$186Professionalmedian $195 · 10th–90th $93$1,0720%5%10%10th90th$195$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
$112.20 / $154.88 / $1,122.02
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$691.83 / $1,862.09 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $851.14
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$117.49 / $426.58 / $1,862.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$97.72 / $141.25 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $169.82 / $169.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $138.04 / $208.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $281.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $154.88 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$691.83 / $851.14 / $2,884.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $446.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$125.89 / $389.05 / $1,380.38
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $120.23 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $100.00 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $128.82 / $245.47
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $134.90 / $257.04