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Vermont 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
Professional
Modifier
Low / Median / High Price
$69.18 / $112.20 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $151.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $208.93