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Maine rates for HCPCS 99387

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; 65 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $323.59