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South Carolina 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
$89.13 / $89.13 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $29.51 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $223.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $141.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $114.82 / $190.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $87.10 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $151.36