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Hawaii rates for HCPCS 99203

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $240 · 10th–90th $68–$2690%20%40%10th90th$240Professionalmedian $117 · 10th–90th $66–$3020%5%10%10th90th$117$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
$56.23 / $229.09 / $269.15
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$239.88 / $239.88 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $123.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $309.03
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $173.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $169.82
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $97.72 / $177.83
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $234.42