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Arizona rates for HCPCS 99342

Home or residence visit for the evaluation and management of a new 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 $85 · 10th–90th $60–$3550%20%10th90th$85Professionalmedian $65 · 10th–90th $48–$830%20%10th90th$65$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $85.11 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $66.07 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $75.86 / $162.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $354.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $120.23