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Arizona 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.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.92 / $98.08 / $440.27
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$60.00 / $246.07 / $451.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $43.59 / $98.09
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$34.42 / $59.84 / $151.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $53.98 / $75.56
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$43.18 / $48.58 / $67.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $31.94 / $65.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $34.70 / $46.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.99 / $110.00 / $179.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$29.37 / $29.37 / $29.37
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$4.70 / $4.70 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $44.75 / $82.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.79 / $44.80 / $80.97
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$99.33 / $99.33 / $99.33
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.89 / $15.89 / $15.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $52.86 / $354.09
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$31.95 / $47.94 / $115.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $46.08 / $86.91