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Washington 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
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.00 / $201.18 / $201.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $73.20 / $114.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $79.34 / $115.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.86 / $90.35 / $94.52