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Alaska rates for HCPCS G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.37 / $293.23 / $498.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.12 / $163.19 / $293.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$261.39 / $261.39 / $451.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $147.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $247.79 / $410.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.58 / $435.68 / $722.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.50 / $526.50 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $526.50 / $820.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.41 / $240.50 / $410.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.90 / $399.11 / $759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.74 / $439.56 / $508.51