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Arkansas 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
Facility
Modifier
Low / Median / High Price
$70.52 / $90.34 / $120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.57 / $92.70 / $143.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.15 / $72.15 / $72.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.57 / $114.57 / $114.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.17 / $70.16 / $85.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $89.28 / $158.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.00 / $98.00 / $98.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.11 / $89.07 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $94.94 / $121.64