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Maryland 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
$64.57 / $85.11 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $123.03 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $109.65