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Iowa rates for HCPCS 99395

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; 18-39 years

Facilitymedian $117 · 10th–90th $55–$2290%5%10%10th90th$117Professionalmedian $170 · 10th–90th $85–$3550%5%10th90th$170$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$147.91 / $181.97 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $169.82 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $147.91 / $275.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $158.49 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $117.49 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $181.97 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $229.09 / $302.00
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $204.17 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $104.71 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $234.42
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $151.36 / $199.53