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Utah rates for HCPCS 99393

Periodic Preventive Med Est Patient 5-11yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $33.75 / $90.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.81 / $94.05 / $354.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.23 / $111.19 / $182.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $122.33 / $150.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.93 / $121.16 / $190.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $117.00 / $177.00