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Montana 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
Professional
Modifier
Low / Median / High Price
$70.04 / $122.13 / $372.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.55 / $133.55 / $183.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.52 / $133.55 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.09 / $147.83 / $196.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $109.39 / $178.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.96 / $183.13 / $276.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $185.90 / $219.78