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Texas 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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.88 / $201.18 / $201.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.77 / $43.77 / $72.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $44.50 / $53.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $58.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00