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Michigan 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
$31.62 / $57.54 / $131.83
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$67.61 / $102.33 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $53.70 / $123.03
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$33.11 / $58.88 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $52.48 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$38.90 / $54.95 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $52.48 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $57.54 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $45.71 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $134.90 / $147.91
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $45.71 / $102.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $57.54 / $131.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$67.61 / $102.33 / $389.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.86 / $104.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$32.36 / $58.88 / $125.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $134.90 / $147.91
Priority Health
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$64.57 / $64.57 / $64.57
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$33.88 / $33.88 / $33.88
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5.37 / $5.37 / $5.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $43.65 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $35.48 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $40.74 / $66.07