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Delaware 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
$28.84 / $61.66 / $575.44
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$79.43 / $263.03 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $47.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$33.11 / $58.88 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $131.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $44.67 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $194.98
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$57.54 / $75.86 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $37.15 / $64.57