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Kentucky 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
$57.54 / $69.18 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $100.00 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $67.61 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $87.10 / $109.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $120.23 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $128.82