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Maine 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 / $134.90 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $257.04
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $338.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $134.90 / $186.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $263.03