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Kansas 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
$61.18 / $81.58 / $109.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.51 / $77.65 / $121.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $68.22 / $101.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $87.31 / $117.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $105.69 / $148.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.13 / $99.42 / $151.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $129.66 / $542.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.50 / $101.23 / $143.11