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Vermont 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
$85.11 / $102.33 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $89.13 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $147.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $134.90