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New Mexico rates for HCPCS G0438

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

Facilitymedian $209 · 10th–90th $145$5010%10%10th90th$209Professionalmedian $166 · 10th–90th $117$2880%10%10th90th$166$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $275.42
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$181.97 / $263.03 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $154.88 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$131.83 / $154.88 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $323.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $338.84