go back

Michigan 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
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $123.03 / $138.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $51.29 / $64.57