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New Hampshire rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.41 / $211.95 / $290.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $98.09 / $180.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $128.88 / $128.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $126.89 / $232.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $152.34 / $265.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.03 / $181.44 / $335.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.25 / $187.33 / $386.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.12 / $93.97 / $136.34