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Vermont 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 $155 · 10th–90th $89–$3390%20%10th90th$155Professionalmedian $195 · 10th–90th $100–$3160%10%10th90th$195$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $263.03
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $181.97 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $169.82 / $309.03