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Maine 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
$108.17 / $129.80 / $401.42
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$473.00 / $473.00 / $473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $108.17 / $210.93
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$104.49 / $130.07 / $207.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.47 / $145.79 / $248.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $146.59 / $146.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $116.36 / $116.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.51 / $186.47 / $333.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.17 / $129.80 / $401.42
Martin's Point
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$473.00 / $473.00 / $473.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $117.49 / $210.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $160.81 / $264.00