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Utah rates for HCPCS G0402

Initial Preventive Physical Examination Face-To- Face Visit Services Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.38 / $156.38 / $182.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.15 / $143.72 / $236.10
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$261.39 / $261.39 / $261.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $147.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.63 / $154.68 / $189.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $189.61 / $243.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.87 / $177.46 / $270.22