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Montana 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
Professional
Modifier
Low / Median / High Price
$48.72 / $91.31 / $320.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.11 / $104.11 / $154.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.49 / $104.11 / $154.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $115.24 / $164.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.12 / $88.01 / $146.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.47 / $146.47 / $232.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.96 / $153.44 / $184.13