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Alaska rates for HCPCS 99215

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.

Facilitymedian $195 · 10th–90th $115–$4170%5%10%10th90th$195Professionalmedian $162 · 10th–90th $98–$3800%5%10%10th90th$162$10.0$50.0$200.0$1.0K$5.0K

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
$234.42 / $346.74 / $616.60
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$275.42 / $512.86 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $346.74
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$91.20 / $186.21 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$275.42 / $512.86 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$81.28 / $194.98 / $467.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $457.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $338.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $257.04 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $190.55 / $436.52
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $323.59 / $338.84