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Florida 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
$48.74 / $76.95 / $113.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $82.35 / $134.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.11 / $116.75 / $131.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.70 / $91.46 / $158.88
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $78.34 / $99.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.34 / $65.88 / $92.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.84 / $89.67 / $146.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $57.19 / $57.19