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Alaska rates for HCPCS 99212

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $56 · 10th–90th $30–$1350%5%10%10th90th$56Professionalmedian $50 · 10th–90th $28–$1150%5%10%10th90th$50$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
$51.29 / $102.33 / $489.78
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$104.71 / $346.74 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $97.72
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.20 / $58.88 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $52.48 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $107.15
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$104.71 / $251.19 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $74.13 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$34.67 / $64.57 / $154.88
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $107.15 / $138.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $97.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $77.62 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $128.82
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $89.13 / $100.00