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Nebraska 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
$39.76 / $53.02 / $71.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.76 / $64.05 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.70 / $98.57 / $142.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $85.92 / $125.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.02 / $98.09 / $189.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $166.82 / $542.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.20 / $149.16 / $281.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $129.00 / $149.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $76.25 / $187.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $166.82 / $209.85