go back

Illinois rates for HCPCS G0402

Initial Preventive Physical Examination Face-To- Face Visit Services Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.60 / $181.88 / $243.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.94 / $154.65 / $226.88
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$143.04 / $261.39 / $265.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $212.85
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$158.22 / $158.22 / $158.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $249.87 / $490.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.96 / $181.51 / $229.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.07 / $174.07 / $174.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $230.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $182.80 / $371.56
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.03 / $161.94 / $218.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $247.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $180.04 / $316.66