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Nevada 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 $263 · 10th–90th $105–$2,1880%20%40%10th90th$263Professionalmedian $120 · 10th–90th $71–$3470%10%20%10th90th$120$1.0$5.0$20.0$100.0$500.0$2.0K

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
$102.33 / $263.03 / $1,995.26
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $117.49 / $354.81
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $125.89 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$91.20 / $117.49 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $173.78
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $100.00 / $158.49
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $104.71 / $173.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $177.83
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$93.33 / $138.04 / $218.78