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Nebraska rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.94 / $78.94 / $107.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.65 / $136.50 / $255.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $145.00 / $179.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $149.31 / $215.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $117.00 / $117.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.86 / $216.07 / $284.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.94 / $138.15 / $245.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $219.78 / $717.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.86 / $212.72 / $284.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.86 / $172.48 / $268.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.11 / $186.19 / $234.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $194.04 / $292.36