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Oklahoma rates for HCPCS 99213

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Facilitymedian $100 · 10th–90th $54–$4570%10%10th90th$100Professionalmedian $78 · 10th–90th $51–$1450%10%10th90th$78$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
$63.10 / $177.83 / $478.63
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$190.55 / $354.81 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $144.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$48.98 / $81.28 / $151.36
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$257.04 / $269.15 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $81.28 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$63.10 / $89.13 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $120.23
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
$52.48 / $74.13 / $114.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $134.90
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$151.36 / $186.21 / $186.21
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$23.99 / $29.51 / $29.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $97.72 / $562.34
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $93.33 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $66.07 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $66.07 / $95.50
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $85.11 / $112.20