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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
$77.62 / $79.43 / $131.83
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$229.09 / $229.09 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $234.42
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$97.72 / $134.90 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$100.00 / $123.03 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $112.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $173.78