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West Virginia 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
$8.36 / $93.75 / $125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $65.12 / $125.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $59.50 / $83.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.19 / $102.29 / $158.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $84.93 / $184.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $99.64 / $147.57