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Oklahoma 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 $60 · 10th–90th $29$2570%5%10th90th$60Professionalmedian $46 · 10th–90th $28$850%10%10th90th$46$1.0$5.0$20.0$100.0

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
$36.31 / $123.03 / $316.23
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$114.82 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $83.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $51.29 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$37.15 / $54.95 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $47.86 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $43.65 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $81.28
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$93.33 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15.14 / $15.85 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $354.81
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$42.66 / $52.48 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $63.10
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$37.15 / $70.79 / $89.13