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Virginia 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
$77.87 / $87.16 / $113.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $103.97 / $186.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $112.24 / $176.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $69.22 / $119.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.81 / $110.81 / $110.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $120.99 / $218.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.71 / $130.91 / $186.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.87 / $111.73 / $179.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $152.00 / $214.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.75 / $101.86 / $165.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.23 / $133.44 / $219.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.64 / $123.96 / $213.28