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Tennessee 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
Professional
Modifier
Low / Median / High Price
$70.04 / $99.99 / $190.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $107.00 / $163.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $114.67 / $182.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.56 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.02 / $121.91 / $185.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.93 / $405.70 / $405.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.12 / $717.08 / $717.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $119.99 / $207.56