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Indiana rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $90.18 / $97.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $94.24 / $157.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.56 / $106.07 / $183.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.65 / $118.83 / $164.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.63 / $95.68 / $142.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $125.84 / $157.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $114.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.54 / $109.15 / $164.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $113.68 / $155.87