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Vermont 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
$81.28 / $81.28 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $141.25 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $346.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $234.42