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Montana 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
Professional
Modifier
Low / Median / High Price
$61.66 / $117.49 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $114.82 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $112.20 / $218.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $154.88 / $194.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $112.20 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $158.49 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $190.55