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Oklahoma 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
$62.30 / $62.30 / $79.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $84.00 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $70.37 / $75.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.50 / $174.50 / $174.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $95.36 / $134.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.30 / $100.41 / $151.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $105.83 / $542.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.62 / $95.23 / $124.24