go back

New Mexico 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)

Facilitymedian $120 · 10th–90th $74–$2140%10%10th90th$120Professionalmedian $105 · 10th–90th $69–$2040%10%10th90th$105$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $112.20 / $194.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $186.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $131.83 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $123.03 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $199.53