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Wisconsin 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 $91 · 10th–90th $52$1860%10%10th90th$91Professionalmedian $129 · 10th–90th $62$2880%5%10th90th$129$1.0$5.0$20.0$100.0$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
$93.33 / $173.78 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $81.28 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $165.96 / $281.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $165.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $177.83 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $199.53 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $91.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $144.54 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $169.82 / $281.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $181.97 / $616.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $147.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $169.82 / $257.04