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Ohio 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
$59.26 / $88.17 / $234.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.83 / $99.99 / $182.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $106.07 / $148.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $99.67 / $152.33
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.18 / $118.11 / $168.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.54 / $92.69 / $116.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $137.88 / $215.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $116.67 / $186.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $173.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $127.17 / $206.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $93.53 / $178.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $125.40 / $200.56