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New Hampshire 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
$104.71 / $213.80 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $141.25 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $173.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $288.40
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $134.90 / $165.96