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Maine 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
$66.07 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $138.04 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $239.88
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $190.55 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $316.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $128.82 / $269.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $138.04 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $151.36 / $245.47