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Oklahoma 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 $107 · 10th–90th $66–$1860%5%10%10th90th$107Professionalmedian $100 · 10th–90th $66–$2090%10%10th90th$100$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
$66.07 / $102.33 / $478.63
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $190.55
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$67.61 / $109.65 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $109.65 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $158.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $691.83
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$93.33 / $107.15 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $138.04
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $89.13 / $177.83