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Maine rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.03 / $107.03 / $107.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $94.09 / $183.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $123.80 / $213.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.17 / $134.16 / $220.39
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.76 / $173.69 / $231.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.81 / $140.97 / $219.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.98 / $113.98 / $158.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $94.09 / $172.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $161.16 / $230.54