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New Hampshire 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
$72.54 / $126.45 / $284.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $96.56 / $143.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $53.37 / $73.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $110.77 / $180.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.16 / $118.96 / $219.69
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $99.79 / $106.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $132.61 / $270.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $77.13 / $109.97