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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
$48.98 / $64.57 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $89.13 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $95.50 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $75.86 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $120.23 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $144.54