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Montana rates for HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.22 / $265.22 / $265.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $157.96 / $546.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$115.53 / $135.22 / $195.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.32 / $261.32 / $261.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.32 / $261.32 / $261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $195.17 / $261.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.30 / $192.38 / $299.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.52 / $194.71 / $264.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $277.82 / $318.13