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Kentucky rates for HCPCS 99251

Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 20 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,249.74 / $47,999.52 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,249.53 / $48,999.51 / $50,749.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $42.91 / $48.27