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Virginia 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
$138.51 / $179.16 / $447.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.12 / $153.86 / $260.39
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$153.74 / $261.39 / $424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.76 / $170.49 / $255.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.13 / $190.22 / $270.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.42 / $163.19 / $261.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.87 / $239.16 / $307.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.04 / $145.96 / $252.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.82 / $188.74 / $316.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.23 / $157.36 / $286.44