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Arkansas 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 $46 · 10th–90th $28–$1700%10%10th90th$46Professionalmedian $51 · 10th–90th $28–$1020%10%10th90th$51$1.0$5.0$20.0$100.0

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
$27.54 / $45.71 / $169.82
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $100.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$31.62 / $53.70 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $50.12 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.90 / $51.29 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $109.65 / $134.90
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $74.13
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $83.18
Qualchoice
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$53.70 / $66.07 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $70.79
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$52.48 / $67.61 / $89.13