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Indiana 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
$61.19 / $89.58 / $94.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $89.57 / $140.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $97.92 / $124.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $104.07 / $143.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.16 / $84.21 / $130.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $110.40 / $144.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.37 / $97.37 / $103.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $96.87 / $147.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $102.43 / $141.69