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Texas 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
$58.88 / $83.18 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $102.33 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $107.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $131.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $186.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $100.00 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $141.25 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $97.72 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $138.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $104.71 / $117.49