go back

Indiana 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $94.83 / $100.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $100.24 / $180.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.80 / $113.75 / $166.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.05 / $111.50 / $154.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $98.84 / $146.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.70 / $129.24 / $161.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $114.80 / $115.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $109.59 / $165.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.92 / $115.54 / $168.83