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Georgia 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
$61.66 / $91.20 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $112.20 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $138.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $85.11 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $162.18