go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$53.17 / $94.94 / $154.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.93 / $93.59 / $134.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.13 / $107.94 / $129.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.50 / $176.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.25 / $102.66 / $151.46
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $96.79 / $115.33