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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$93.33 / $181.97 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $288.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $123.03 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $194.98 / $371.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $120.23 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $123.03 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $223.87 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $239.88 / $398.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $213.80 / $851.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $275.42