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Indiana 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
$123.54 / $124.96 / $158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.78 / $136.07 / $202.27
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$170.76 / $170.76 / $170.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.05 / $181.50 / $228.78
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$158.88 / $158.88 / $158.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $129.81 / $208.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.34 / $156.40 / $208.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.52 / $174.25 / $228.78
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 / $242.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.48 / $158.21 / $222.02