go back

Maine rates for HCPCS 99204

Office/Outpatient New Moderate Mdm 45 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.15 / $266.55 / $732.60
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$262.57 / $656.54 / $767.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $143.30 / $236.08
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$124.78 / $201.07 / $328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.86 / $195.59 / $261.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $178.29 / $191.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.55 / $194.58 / $323.24
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $272.79 / $342.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $208.16 / $323.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.64 / $152.19 / $284.20
Martin's Point
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$69.69 / $188.10 / $193.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $143.30 / $242.16
Martin's Point
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$121.69 / $143.16 / $225.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $228.33 / $356.71