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West Virginia 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
$7.08 / $7.24 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $100.00 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $85.11 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $134.90 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $77.62 / $114.82