go back

Connecticut 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
$60.26 / $95.50 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $87.10 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $102.33 / $162.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $147.91