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Maine rates for HCPCS 99211

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $83 · 10th–90th $12–$1260%20%10th90th$83Professionalmedian $21 · 10th–90th $7–$470%10%20%10th90th$21$0.5$2.0$10.0$50.0$200.0$1.0K

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
$10.00 / $39.81 / $125.89
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$35.48 / $95.50 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.50 / $41.69
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$16.98 / $33.11 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $19.95 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $21.88 / $43.65
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $25.12 / $60.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $19.05 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $26.30 / $48.98
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $33.11