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Massachusetts 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
$72.44 / $107.15 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $109.65 / $229.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $120.23 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $165.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $117.49 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $74.13 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $181.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $120.23 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $194.98