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Idaho 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 / $123.01 / $387.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.33 / $150.19 / $204.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.78 / $130.74 / $183.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.84 / $159.80 / $221.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $182.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.88 / $170.27 / $170.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.65 / $145.90 / $196.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.73 / $155.11 / $202.45