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Massachusetts 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)

Facilitymedian $71 · 10th–90th $46–$4170%20%10th90th$71Professionalmedian $117 · 10th–90th $63–$2630%5%10th90th$117$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $123.03 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $426.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $131.83 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $213.80
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $107.15
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $134.90 / $199.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $251.19
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $154.88 / $181.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $426.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $316.23
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $60.26
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $117.49 / $245.47