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Maine 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
$56.99 / $80.70 / $136.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $80.70 / $150.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $106.12 / $183.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.29 / $109.66 / $189.90
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.12 / $158.82 / $199.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.62 / $121.19 / $188.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $136.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $80.70 / $147.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.93 / $137.65 / $198.98