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Georgia 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.

Facilitymedian $50 · 10th–90th $35–$580%20%40%10th90th$50Professionalmedian $50 · 10th–90th $32–$930%10%10th90th$50$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $109.65 / $229.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $95.50 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $47.86 / $75.86