go back

Iowa rates for HCPCS 99397

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; 65 years and older

Facilitymedian $135 · 10th–90th $76–$2750%10%10th90th$135Professionalmedian $178 · 10th–90th $93–$3980%5%10%10th90th$178$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $169.82 / $316.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $263.03 / $354.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $144.54 / $269.15
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $173.78 / $229.09