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Texas rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.48 / $94.24 / $172.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $93.76 / $183.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $108.99 / $173.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.87 / $144.44 / $340.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $90.21 / $121.62
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.34 / $118.82 / $155.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $112.40 / $114.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $116.26 / $185.37
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $103.88 / $174.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.88 / $142.46 / $197.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $102.56 / $136.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.19 / $104.09 / $177.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $124.42 / $226.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.71 / $118.57 / $175.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.42 / $110.81 / $150.54