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Connecticut 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
$39.81 / $158.49 / $288.40
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$128.82 / $190.55 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $51.29 / $117.49
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$33.11 / $61.66 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $91.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $72.44 / $125.89
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $89.13 / $181.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $75.86 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $44.67 / $81.28