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Missouri 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
$58.88 / $104.71 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $102.33 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $117.49 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $120.23