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Nebraska 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
$69.69 / $69.69 / $97.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $103.84 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $130.00 / $164.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.79 / $131.75 / $197.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $196.75 / $259.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.69 / $121.96 / $223.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $200.13 / $655.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.27 / $194.83 / $259.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $156.91 / $245.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.83 / $170.43 / $215.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $196.62 / $268.77