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Wisconsin 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
$74.13 / $128.82 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $173.78 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $295.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $123.03 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $194.98 / $363.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $120.23 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $123.03 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $72.44 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $398.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $213.80 / $851.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $223.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $269.15