go back

Missouri 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
$72.44 / $100.00 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $85.11 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $93.33 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $83.18 / $123.03