go back

Indiana rates for HCPCS 99391

Periodic comprehensive preventive medicine reevaluation 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, established patient; infant (age younger than 1 year)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.84 / $84.15 / $92.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $81.93 / $147.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.60 / $95.57 / $126.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.82 / $96.17 / $132.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.68 / $76.90 / $123.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.15 / $104.98 / $135.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $93.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.32 / $88.68 / $136.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $96.40 / $135.83