go back

Pennsylvania 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
$75.86 / $117.49 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $154.88 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $173.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $208.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $144.54 / $257.04
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $173.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $47.86 / $123.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $181.97
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $234.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $89.13 / $199.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $281.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $120.23 / $257.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $295.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $104.71 / $257.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $123.03 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $181.97