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Comprehensive Specialist Consultation Visit

West Virginia rates for HCPCS 99245

This is an in-depth office visit where a specialist evaluates a patient at the request of another provider, involving a thorough review of the patient's history, a detailed examination, and complex medical decision-making. It represents the most involved level of this type of consultation, typically used for patients with complicated or multiple medical problems. A written report is usually sent back to the referring provider afterward.

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $19$2240%10%20%10th90th$170Professionalmedian $178 · 10th–90th $120$2400%10%10th90th$178$20.0$50.0$100.0$200.0$500.0$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
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$229.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$354.81