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Utah 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
$70.43 / $100.43 / $133.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $94.52 / $154.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $102.15 / $139.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $61.32 / $77.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $96.90 / $153.00