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Tennessee 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
$229.86 / $229.86 / $283.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.30 / $142.94 / $215.63
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$153.05 / $255.07 / $261.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $179.36 / $262.93
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$156.49 / $158.22 / $299.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.22 / $172.96 / $269.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.54 / $653.54 / $653.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.70 / $1,045.69 / $1,361.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.13 / $168.37 / $281.45