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Massachusetts rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.45 / $122.45 / $172.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $122.45 / $267.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $405.70 / $405.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $209.54 / $717.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.35 / $171.76 / $269.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $158.16 / $265.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.12 / $83.12 / $105.94
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $155.18 / $182.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.38 / $224.09 / $310.99
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $193.62 / $361.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.70 / $405.70 / $405.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $234.10 / $717.08
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.92 / $67.12 / $101.93
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $104.86 / $218.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $169.93 / $321.14