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Arizona 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
$48.67 / $64.90 / $87.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $79.95 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $71.28 / $81.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.80 / $72.80 / $350.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $53.89 / $72.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $97.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $88.29 / $168.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.68 / $77.65 / $147.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $104.11 / $542.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $91.80 / $168.47