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Texas 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
$46.77 / $48.98 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $123.03 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $70.79 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $208.93 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $77.62
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $151.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $107.15 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $125.89 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $64.57 / $85.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $138.04 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $109.65 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $70.79 / $85.11