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Nevada 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 $309 · 10th–90th $135–$3160%20%40%10th90th$309Professionalmedian $182 · 10th–90th $98–$4900%10%10th90th$182$1.0$5.0$20.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $309.03 / $309.03
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $489.78
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$107.15 / $213.80 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$151.36 / $181.97 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $269.15
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $162.18 / $257.04
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $186.21 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $173.78 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $269.15
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $173.78 / $346.74