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Louisiana rates for HCPCS 99214

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $107 · 10th–90th $78–$3160%20%10th90th$107Professionalmedian $112 · 10th–90th $52–$2750%5%10%10th90th$112$2.0$10.0$50.0$200.0$1.0K

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
$77.62 / $107.15 / $194.98
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$52.48 / $269.15 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $107.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $120.23 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$93.33 / $123.03 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $128.82
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $109.65 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $147.91
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $131.83 / $181.97