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Utah rates for HCPCS 99395

Periodic Preventive Med Est Patient 18-39 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.56 / $63.38 / $71.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.22 / $117.90 / $405.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $127.44 / $200.79
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
$89.63 / $136.62 / $214.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $131.82 / $196.04