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Kentucky 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
$39.90 / $53.21 / $70.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $69.14 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $67.59 / $93.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $52.02 / $102.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.17 / $63.06 / $82.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.89 / $78.09 / $102.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $91.88 / $163.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.91 / $67.83 / $88.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.33 / $94.80 / $152.79