go back

Indiana 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
$61.19 / $85.60 / $93.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $91.98 / $154.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $112.45 / $140.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $107.56 / $149.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.69 / $84.21 / $136.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $120.56 / $150.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.37 / $97.37 / $122.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $104.35 / $159.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $109.57 / $151.05