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Idaho 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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.31 / $111.36 / $381.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.02 / $133.56 / $186.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $115.98 / $167.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.81 / $140.38 / $202.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $185.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.83 / $155.79 / $155.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $131.94 / $179.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $141.00 / $184.45