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Delaware 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
$3.41 / $4.45 / $8.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $84.00 / $136.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.46 / $86.57 / $125.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $93.24 / $181.82