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Maine 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
$107.15 / $114.82 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $218.78
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $158.49 / $288.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $114.82 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $229.09