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Utah 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
$75.86 / $114.82 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $107.15 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $138.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $128.82