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Michigan 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 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $109.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $85.11 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $141.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $77.62 / $213.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $93.33 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $83.18 / $112.20