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Maine 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
$100.00 / $100.00 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $109.65 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $109.65 / $204.17
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $263.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $112.20 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $208.93