go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$70.04 / $115.50 / $186.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $124.26 / $187.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.41 / $136.01 / $162.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.30 / $148.69 / $188.15
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.98 / $116.52 / $278.13