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Arizona rates for HCPCS 99394

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; adolescent (age 12 through 17 years)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.14 / $106.44 / $234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $93.24 / $254.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.05 / $107.34 / $108.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $83.76 / $104.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $107.17 / $216.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.81 / $98.80 / $186.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $128.69 / $717.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $111.86 / $214.26