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Maine 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
$72.39 / $117.87 / $435.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $96.40 / $188.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $126.44 / $220.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $114.80 / $114.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $138.01 / $226.44
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $178.76 / $238.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $145.09 / $225.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.87 / $163.18 / $435.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $96.40 / $168.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.33 / $164.72 / $235.74