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Nevada 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.

Facilitymedian $182 · 10th–90th $102–$7240%20%10th90th$182Professionalmedian $52 · 10th–90th $28–$1380%10%10th90th$52$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $724.44
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$102.33 / $102.33 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $131.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.88 / $58.88 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$45.71 / $57.54 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $47.86 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $45.71 / $85.11
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $43.65 / $79.43
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $45.71 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $54.95 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $43.65 / $85.11
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $72.44 / $112.20