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New Jersey 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)

Facilitymedian $89 · 10th–90th $62–$1480%10%20%10th90th$89Professionalmedian $107 · 10th–90th $65–$2190%5%10%10th90th$107$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $107.15 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $97.72 / $112.20
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $131.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $89.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $112.20 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $123.03 / $213.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $107.15 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $93.33 / $173.78