go back

Kentucky 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.27 / $86.35 / $50,749.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $66.61 / $78.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $35.36 / $49.34