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Minnesota 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 / $64.57 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $123.03 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $251.19 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $131.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $120.23 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $144.54 / $234.42