go back

New Jersey 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
$19.50 / $66.07 / $302.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$141.25 / $269.15 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $52.48 / $120.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$32.36 / $60.26 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $52.48 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$40.74 / $54.95 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.65 / $43.65 / $43.65
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $69.18 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $169.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $48.98 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $117.49
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $39.81 / $69.18