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Nevada 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
$6.94 / $108.15 / $144.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $84.00 / $144.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.15 / $72.15 / $72.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $52.54 / $73.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.55 / $90.46 / $137.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $200.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $99.79 / $165.75