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New Hampshire 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
$119.81 / $126.54 / $162.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.15 / $138.51 / $188.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.83 / $169.57 / $266.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $147.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $274.44 / $512.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $284.51 / $487.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $146.33 / $3,000.00