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Oregon rates for HCPCS 99386

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; 40-64 years

Facilitymedian $214 · 10th–90th $112–$3020%10%20%10th90th$214Professionalmedian $214 · 10th–90th $110–$4900%5%10%10th90th$214$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $363.08
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $295.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $288.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $257.04 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $275.42 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $354.81