go back

Michigan 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $87.13 / $143.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.60 / $46.60 / $53.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $46.60 / $62.62