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Massachusetts 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
Facility
Modifier
Low / Median / High Price
$89.13 / $102.33 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $147.91 / $316.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $109.65 / $524.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $162.18 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $245.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $75.86 / $95.50
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $288.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $239.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $109.65 / $524.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $338.84
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $67.61 / $77.62
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $269.15