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Louisiana 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
$86.89 / $88.15 / $112.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $124.67 / $240.25
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$261.39 / $261.39 / $261.39
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$299.30 / $299.30 / $299.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.48 / $96.09 / $138.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $130.34 / $165.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.13 / $113.54 / $113.54
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 / $147.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.47 / $160.51 / $241.01