Preventive checkup visit for ages 12 to 17

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR E&M Preventive Medicine Periodic Comprehensive Established Pt 12-17 Yrs

Payers reporting CPT 99394

Payer pricing summary

Low

$48

Average

$2.8k

Median

$169

High

$52.4k

Payer rate distribution

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#
1	Ambetter fee schedule · both · +18 other terms	17	$116	$158	$29	18%	24	$82 – $204
2	Oscar professional · fee schedule · both · +14 other terms	5	$128	$128	$18	14%	18–27	$99 – $155
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	175	$252	$273	$148	54%	4–40	$0 – $712
4	Tricare fee schedule · both · +18 other terms	34	$80	$92	$18	20%	3–30	$45 – $165
5	Carefirst professional · fee schedule · both · +12 other terms	11	$121	$117	$39	33%	3–30	$31 – $218
6	Humana fee schedule · outpatient · +26 other terms	228	$108	$197	$633	322%	2–20	$1 – $8.3k
7	UnitedHealthcare fee schedule · outpatient · +35 other terms	186	$113	$190	$141	74%	1–10	$1 – $663
8	Cigna fee schedule · outpatient · +27 other terms	98	$120	$171	$114	67%	1–10	$0 – $473
9	Aetna fee schedule · outpatient · +33 other terms	145	$118	$348	$852	244%	—	$1 – $8.4k
10	Anthem fee schedule · outpatient · +26 other terms	67	$113	$119	$33	27%	—	$20 – $344
11	Molina fee schedule · outpatient · +26 other terms	47	$106	$110	$73	67%	—	$1 – $304
12	Kaiser fee schedule · outpatient · +19 other terms	39	$120	$151	$88	59%	—	$5 – $523
13	Caresource fee schedule · outpatient · +18 other terms	34	$68	$142	$49	34%	—	$1 – $189
14	Medica fee schedule · both · +17 other terms	25	$176	$218	$115	53%	—	$62 – $362
15	Wellmark fee schedule · both · +20 other terms	24	$141	$144	$9	6%	—	$141 – $190
16	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$353	$348	$111	32%	—	$98 – $596
17	Devoted fee schedule · outpatient · +14 other terms	23	$113	$125	$42	33%	—	$110 – $319
18	MultiPlan fee schedule · outpatient · +19 other terms	23	$161	$211	$130	62%	—	$55 – $509
19	Optum professional · fee schedule · outpatient · +15 other terms	23	$118	$98	$30	30%	—	$41 – $124
20	Healthpartners fee schedule · both · +12 other terms	22	$164	$224	$81	36%	—	$164 – $346
21	Highmark facility · fee schedule · outpatient · +15 other terms	22	$63	$171	$133	77%	—	$8 – $589
22	Regence fee schedule · outpatient · +13 other terms	22	$142	$147	$54	37%	—	$38 – $373
23	Ucare professional · fee schedule · outpatient · +12 other terms	22	$121	$114	$27	24%	—	$61 – $176
24	Aetna Better Health fee schedule · outpatient · +17 other terms	21	$78	$125	$94	75%	—	$66 – $395
25	WellCare fee schedule · outpatient · +21 other terms	21	$100	$91	$22	24%	—	$32 – $127

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