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Virginia 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
$37.53 / $53.24 / $468.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$131.07 / $140.07 / $171.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $63.77 / $109.15
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$47.18 / $81.38 / $152.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $69.27 / $109.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $41.23 / $80.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.64 / $128.00 / $256.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $77.00 / $137.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $83.13 / $131.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $75.11 / $117.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $103.00 / $139.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.73 / $62.08 / $97.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.58 / $87.10 / $142.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.35 / $80.38 / $143.07