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New Mexico 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
$123.13 / $123.13 / $123.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.15 / $132.49 / $200.22
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$170.76 / $261.39 / $261.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.57 / $154.57 / $165.39
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$156.49 / $156.49 / $156.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.37 / $123.01 / $196.56
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.91 / $150.97 / $197.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $275.81 / $428.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.93 / $215.26 / $328.65