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Arizona rates for HCPCS 99252

Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $104.71 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $257.04 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $79.43 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $138.04