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Follow-Up Care After Leaving the Hospital, Moderate

West Virginia 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 October 2026.

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

$166

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $182 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$120 to $182
FacilityA hospital or hospital-owned outpatient department$182$132 to $251

How much rates vary

Facilitymedian $182 · 10th to 90th $132 to $398Professionalmedian $166 · 10th to 90th $120 to $269
$100$200$500$1Kfacility $182professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$165.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$70.79
Typical High
$83.18
CareSource
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$199.53
Typical High
$346.74
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$524.81
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$229.09
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$194.98
Typical High
$323.59

Where West Virginia sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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.

West Virginia· 23rd of 51

$166

AK $339KY $120

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.