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Nebraska 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
$155.65 / $155.65 / $155.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.08 / $155.65 / $381.47
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$157.24 / $157.24 / $157.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.18 / $301.86 / $367.76
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$157.90 / $157.90 / $157.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.65 / $155.41 / $155.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.17 / $264.30 / $416.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.65 / $264.61 / $373.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.82 / $316.19 / $1,045.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.40 / $270.91 / $416.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.40 / $270.91 / $416.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.32 / $278.73 / $335.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.58 / $322.32 / $424.92