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New Hampshire 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
$154.91 / $154.91 / $162.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $159.43 / $190.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.59 / $211.03 / $211.03
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$533.66 / $533.66 / $533.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.44 / $173.80 / $299.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $147.60 / $147.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.67 / $302.14 / $566.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.67 / $263.38 / $408.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.36 / $180.59 / $3,375.00