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Texas 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
$44.54 / $66.79 / $227.93
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$115.83 / $219.83 / $275.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $66.18 / $124.71
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$46.40 / $86.32 / $203.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.42 / $67.66 / $87.95
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$50.00 / $57.51 / $74.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.64 / $71.64 / $75.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $53.49 / $73.06
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $108.26
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $74.79 / $110.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.67 / $42.80 / $67.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $155.00 / $235.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $72.76 / $119.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.96 / $229.71 / $229.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.33 / $456.37 / $456.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.70 / $69.81 / $109.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $84.24 / $125.77
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.36 / $103.59 / $379.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $71.23 / $122.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.70 / $70.05 / $111.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $76.70 / $139.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $77.23 / $116.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $69.90 / $94.74