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Alabama rates for HCPCS 99242

Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $83.93 / $131.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $91.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $86.25 / $162.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $80.06 / $115.04