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Nationwide rates for HCPCS 99241

Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $131.83 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $100.00 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $67.61