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New Mexico 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 $23 · 10th–90th $9–$2690%5%10%10th90th$23Professionalmedian $20 · 10th–90th $7–$480%10%10th90th$20$2.0$10.0$50.0$200.0

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
$12.02 / $23.99 / $269.15
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.95 / $43.65
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$15.49 / $30.90 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $21.88 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.85 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $141.25 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.95 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.89 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $27.54 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $21.88 / $39.81
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43