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New Mexico 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
$54.95 / $109.65 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $112.20 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $104.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $102.33 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $128.82