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Montana 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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $154.88 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $165.96 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $269.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $190.55 / $223.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $131.83 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $194.98 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $229.09