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Utah 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
$30.90 / $70.79 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $151.36 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $186.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $223.87