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Iowa rates for HCPCS 99393

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; late childhood (age 5 through 11 years)

Facilitymedian $112 · 10th–90th $58–$2190%5%10%10th90th$112Professionalmedian $138 · 10th–90th $71–$2880%5%10%10th90th$138$2.0$10.0$50.0$200.0

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
$125.89 / $173.78 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $138.04 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $245.47
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $141.25 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $102.33 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $162.18 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $199.53 / $275.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $112.20 / $208.93
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $177.83