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Louisiana rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.49 / $117.28 / $137.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $98.09 / $178.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $140.85 / $156.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $103.36 / $158.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $112.40 / $112.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.70 / $93.70 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $107.72 / $164.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.67 / $113.86 / $180.52