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Idaho 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
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $123.03 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $138.04 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $173.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $109.65 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $128.82 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $134.90