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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
$56.65 / $105.31 / $386.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $114.10 / $171.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.99 / $114.10 / $171.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $126.29 / $183.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.73 / $99.53 / $173.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.88 / $161.28 / $256.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.52 / $175.28 / $215.97