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Washington 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
$137.30 / $137.30 / $220.22
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$121.00 / $121.00 / $261.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.37 / $170.45 / $321.37
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$115.53 / $256.83 / $463.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.94 / $196.84 / $196.84
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$156.18 / $156.18 / $156.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.44 / $439.22 / $842.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.42 / $377.65 / $1,401.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $147.60 / $147.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.82 / $335.02 / $498.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.25 / $280.60 / $425.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $263.90 / $458.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.18 / $324.27 / $332.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.19 / $317.91 / $338.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.80 / $248.16 / $345.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.38 / $321.44 / $427.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.87 / $268.58 / $474.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.93 / $136.93 / $178.95