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Connecticut 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
$66.07 / $128.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $104.71 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $144.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $104.71 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $154.88