go back

Missouri 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
$99.02 / $133.06 / $158.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $102.53 / $248.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.15 / $118.62 / $161.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.54 / $99.00 / $153.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $124.42 / $188.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $110.83 / $188.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.10 / $147.94 / $717.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $124.49 / $184.20