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North Dakota 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
$67.48 / $68.69 / $89.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $79.95 / $140.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.22 / $86.38 / $123.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $94.37 / $141.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.09 / $167.38 / $542.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $150.76 / $224.05