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North Carolina 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
Professional
Modifier
Low / Median / High Price
$188.81 / $197.11 / $197.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $59.00 / $67.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $82.20 / $117.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $264.18 / $264.18