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Arkansas rates for HCPCS 99202

Office or other outpatient visit for the evaluation and management of a new 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, 15 minutes must be met or exceeded.

Facilitymedian $62 · 10th–90th $49–$810%20%10th90th$62Professionalmedian $72 · 10th–90th $42–$1550%5%10%10th90th$72$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $69.18 / $144.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$46.77 / $87.10 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $69.18 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $95.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $109.65
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $107.15
Qualchoice
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $91.20 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $97.72