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Maine 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
$64.57 / $100.00 / $234.42
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$102.33 / $190.55 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $70.79 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$54.95 / $85.11 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $75.86 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $85.11 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $74.13 / $138.04
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $93.33 / $181.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $234.42
Martin's Point
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$102.33 / $190.55 / $204.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $70.79 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$56.23 / $93.33 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $144.54