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West Virginia 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 $49 · 10th–90th $33–$1740%10%10th90th$49Professionalmedian $52 · 10th–90th $28–$1000%5%10%10th90th$52$10.0$20.0$50.0$100.0$200.0$500.0

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
$30.20 / $44.67 / $117.49
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$38.90 / $117.49 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $48.98 / $100.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$31.62 / $56.23 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $56.23 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $134.90
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $169.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $95.50
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$38.02 / $58.88 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $79.43 / $89.13