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South 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
$57.54 / $66.07 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $77.62 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $158.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $107.15 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $120.23