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Nationwide rates for HCPCS G2212

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified health care professional, with or without direct patient contact (list separately in addition to CPT codes 99205, 99215, 99483 for office or other outpatient evaluation and management services.) (Do not report G2212 on the same date of service as codes 99358, 99359, 99415, 99416). (Do not report G2212 for any time unit less than 15 minutes)

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.11 / $72.44	Facility		$25.70	$33.11	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $120.23	Professional		$25.12	$33.88	$120.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $107.15 / $323.59	Professional	25	$50.12	$107.15	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $41.69	Facility		$30.20	$37.15	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $51.29	Professional		$21.38	$31.62	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $117.49	Facility		$47.86	$47.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $42.66	Professional		$28.84	$28.84	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $41.69	Facility		$22.91	$30.20	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $61.66	Professional		$26.92	$37.15	$61.66

Nationwide rates for HCPCS G2212

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