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Louisiana 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
$76.50 / $76.50 / $78.70
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$229.49 / $229.49 / $352.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $109.75 / $209.17
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$101.35 / $138.02 / $400.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $123.22 / $129.24
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$122.89 / $145.74 / $190.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.21 / $142.28 / $152.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $86.61 / $111.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.58 / $123.58 / $134.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.59 / $146.59 / $146.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $116.36 / $116.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $114.66 / $179.61