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Delaware 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
$3.72 / $3.72 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $81.28 / $151.36