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Maine 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
$208.93 / $208.93 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $109.65 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $186.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $144.54