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Texas 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
$77.50 / $171.64 / $180.33
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$171.41 / $171.41 / $176.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.45 / $130.66 / $193.00
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 / $156.49 / $185.63
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$133.02 / $156.49 / $156.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.69 / $323.33 / $533.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.98 / $120.44 / $141.69
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.40 / $82.40 / $82.40
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.48 / $172.87 / $246.96
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
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.30 / $157.30 / $273.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.29 / $208.99 / $289.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $169.95 / $287.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.30 / $157.25 / $279.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $356.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.71 / $166.73 / $247.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $161.04 / $219.09