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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 July 2026.

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

$251

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$158 to $372
FacilityA hospital or hospital-owned outpatient department$263$148 to $295

How much rates vary

Facilitymedian $263 · 10th to 90th $123 to $355Professionalmedian $251 · 10th to 90th $120 to $427
$50$100$200$500facility $263professional $251

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
$123.03
Median
$263.03
Typical High
$354.81
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$257.04
Median
$380.19
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$426.58
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$239.88
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$147.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$1,071.52
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$524.81
Highmark BCBS
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$229.09
Median
$389.05
Typical High
$549.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$229.09
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$204.17
Median
$204.17
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$288.40

Where West Virginia 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.

West Virginia· 2nd of 51

$251

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.