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Indiana rates for HCPCS 99396

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; 40-64 years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $102.33 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $181.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $109.65 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $109.65 / $162.18