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Utah 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
$30.20 / $66.07 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $218.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $173.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $123.03 / $208.93