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Missouri 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
$81.61 / $113.50 / $160.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $86.66 / $225.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $108.30 / $124.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.42 / $84.52 / $127.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.11 / $101.52 / $155.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.68 / $90.16 / $161.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.38 / $126.80 / $618.82
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $143.47 / $143.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $106.54 / $158.26