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Alaska rates for HCPCS G0439

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $316.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$107.15 / $141.25 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $177.83 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $371.54 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$40.74 / $141.25 / $269.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $169.82 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $302.00 / $416.87