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Massachusetts 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
$104.71 / $131.83 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $398.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $630.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $288.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $112.20
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $338.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $281.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $630.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $398.11
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $120.23 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $316.23