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Colorado 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
$5.01 / $57.54 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $100.00 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $70.79 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $165.96