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Minnesota 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 $162 · 10th–90th $91–$4470%10%10th90th$162Professionalmedian $214 · 10th–90th $100–$3720%5%10%10th90th$214$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$97.72 / $134.90 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $263.03 / $467.74
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $933.25
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $263.03 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $144.54 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $323.59 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $208.93 / $346.74