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Ohio rates for HCPCS 99244

Office or other outpatient consultation for a new or 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, 40 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $116.87 / $441.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $145.90 / $214.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.95 / $157.62 / $206.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.94 / $127.91 / $231.02
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.12 / $193.64 / $195.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.08 / $148.62 / $188.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.11 / $195.14 / $306.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.68 / $178.68 / $178.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.55 / $184.08 / $298.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.68 / $178.68 / $524.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.69 / $196.74 / $307.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $149.32 / $234.93
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $204.34 / $295.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $204.34 / $315.44