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New Hampshire rates for HCPCS 99245

Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.14 / $314.66 / $708.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.11 / $213.68 / $314.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.67 / $201.67 / $201.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.05 / $173.05 / $201.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.45 / $322.72 / $492.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.45 / $352.12 / $657.67
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $249.08 / $269.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.18 / $349.77 / $584.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.35 / $200.12 / $269.42