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Utah rates for HCPCS 99394

Periodic Preventive Med Est Patient 12-17yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $71.59 / $98.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $98.46 / $387.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $124.48 / $203.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $122.33 / $150.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $133.36 / $208.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.35 / $129.99 / $189.08