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Maine rates for HCPCS 99396

Periodic Preventive Med Est Patient 40-64yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.53 / $78.84 / $102.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.50 / $102.56 / $199.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.11 / $134.72 / $233.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.00 / $124.66 / $124.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.57 / $150.13 / $240.51
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.18 / $189.94 / $253.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.59 / $154.16 / $239.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.53 / $66.53 / $267.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $102.78 / $180.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.05 / $175.70 / $267.80