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Indiana 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $114.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $154.88 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $117.49 / $147.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $173.78