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Montana 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
$51.86 / $96.56 / $140.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.19 / $87.28 / $118.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $97.85 / $149.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.33 / $89.66 / $161.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $123.48 / $190.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.30 / $147.32 / $168.30