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Louisiana 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
$66.73 / $84.54 / $107.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.75 / $90.34 / $126.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $74.95 / $124.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.80 / $125.80 / $125.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $92.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $77.48 / $127.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.86 / $94.79 / $147.59