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Indiana 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
$51.29 / $74.13 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $95.50 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $58.88 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $131.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $85.11 / $109.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $85.11 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $85.11 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $107.15