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Maryland rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $107.93 / $294.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $77.00 / $105.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $118.84 / $202.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.83 / $140.16 / $197.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $116.99 / $192.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $117.85 / $176.78