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Utah rates for HCPCS 99396

Periodic Preventive Med Est Patient 40-64yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.56 / $66.19 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $121.51 / $424.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.12 / $136.68 / $211.94
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
$97.05 / $147.96 / $229.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.40 / $129.60 / $202.17