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New Jersey 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
$45.71 / $61.66 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $190.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $114.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $66.07 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $134.90