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North Carolina 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $87.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19