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Ohio 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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $74.13