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New York rates for HCPCS 99385

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; 18-39 years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.79 / $150.02 / $354.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $125.21 / $333.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.01 / $132.12 / $159.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $112.54 / $200.96
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.96 / $136.96 / $136.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.96 / $136.96 / $184.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $125.60 / $125.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.13 / $159.07 / $314.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $145.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $113.55 / $223.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.19 / $115.14 / $121.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $144.38 / $237.45
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $105.11 / $141.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.09 / $183.64 / $263.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $125.60 / $125.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $169.86 / $323.55
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $139.94 / $169.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.58 / $148.87 / $297.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.21 / $121.97 / $244.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.87 / $154.91 / $239.73