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Alaska rates for HCPCS 99243

Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $148 · 10th–90th $93–$2690%10%10th90th$148Professionalmedian $110 · 10th–90th $72–$2290%10%10th90th$110$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $436.52
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $263.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $173.78 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $371.54