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New Hampshire rates for HCPCS 99397

Periodic Preventive Med Est Patient 65yrs& Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.10 / $255.65 / $492.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.07 / $120.58 / $252.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.82 / $151.82 / $368.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $148.50 / $273.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.67 / $180.92 / $311.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.54 / $214.10 / $395.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.66 / $206.15 / $404.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $113.30 / $150.18