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Pennsylvania 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
$78.31 / $119.00 / $122.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $87.24 / $208.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $91.39 / $182.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.01 / $109.67 / $159.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $93.01 / $155.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.96 / $143.96 / $143.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $126.43 / $195.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.17 / $120.79 / $138.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.31 / $87.24 / $122.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.51 / $99.92 / $205.56
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $68.00 / $68.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $91.39 / $213.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $88.85 / $88.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.49 / $94.04 / $155.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.56 / $81.56 / $96.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $96.53 / $96.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $103.43 / $167.24