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Idaho 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
$59.65 / $102.21 / $154.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.01 / $115.13 / $155.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.14 / $114.26 / $150.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $119.56 / $144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $132.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.63 / $112.35 / $112.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $126.00 / $158.91