go back

North Carolina 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
$72.44 / $109.65 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $123.03 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $151.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $120.23 / $177.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $147.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54