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Montana rates for HCPCS 99384

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; adolescent (age 12 through 17 years)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $295.12
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
$151.36 / $177.83 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $288.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $204.17 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $138.04 / $234.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $204.17 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $239.88