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Illinois 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
Facility
Modifier
Low / Median / High Price
$66.07 / $120.23 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $295.12 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $114.82 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $263.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $91.20 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $32.36 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $100.00 / $154.88