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Montana rates for HCPCS 99393

Periodic Preventive Med Est Patient 5-11yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.65 / $105.31 / $354.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $114.10 / $164.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.99 / $114.10 / $164.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $126.29 / $175.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.73 / $96.65 / $162.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $157.18 / $247.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.25 / $168.00 / $207.00