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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
$38,904.51 / $38,904.51 / $38,904.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,773.51 / $48,977.88 / $51,286.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $42.66 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $77.62