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Ohio 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
$28.18 / $48.98 / $107.15
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$46.77 / $95.50 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $52.48 / $117.49
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$31.62 / $58.88 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $53.70 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$41.69 / $54.95 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $39.81 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $54.95 / $91.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $39.81 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $58.88 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $66.07 / $158.49
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
$27.54 / $46.77 / $87.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $128.82 / $251.19
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$56.23 / $56.23 / $56.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$29.51 / $29.51 / $29.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$4.68 / $4.68 / $4.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $50.12 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.11 / $63.10
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $53.70 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $50.12 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $38.90 / $66.07