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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
$80.98 / $97.36 / $106.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $106.56 / $184.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.37 / $116.19 / $175.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.38 / $120.22 / $176.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.72 / $107.34 / $155.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.50 / $133.34 / $171.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.66 / $124.66 / $127.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $118.99 / $173.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $123.42 / $175.39