go back

Colorado 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.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.70 / $89.00 / $201.60
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$77.76 / $94.25 / $94.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $63.77 / $120.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$46.55 / $88.63 / $208.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $188.00 / $188.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.78 / $80.81 / $125.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.64 / $152.00 / $190.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $80.31 / $123.69
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.62 / $71.73 / $110.35
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.82 / $45.82 / $45.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $90.72 / $135.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.76 / $100.58 / $166.79