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Follow-Up Care After Leaving the Hospital, Moderate

Maine rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated July 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$158

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $120 to $200.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $372Professionalmedian $158 · 10th to 90th $107 to $288
$100$200$500facility $126professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$354.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$371.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$331.13

Where Maine sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 41st of 51

$158

MN $288DE $138

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.