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Nationwide rates for HCPCS 99381

Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $114.82 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $120.23 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $85.11 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $102.33 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $112.20 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $83.18 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $100.00 / $173.78