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Colorado 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
$4.61 / $54.95 / $75.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $70.00 / $138.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.67 / $61.67 / $61.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $75.29 / $107.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.67 / $105.03 / $150.60
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.19 / $90.43 / $135.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $96.58 / $147.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.72 / $124.01 / $198.76