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Nebraska 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
$121.85 / $166.90 / $242.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $121.85 / $242.33
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$120.01 / $120.01 / $127.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.89 / $275.00 / $275.00
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$122.89 / $122.89 / $124.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.90 / $121.84 / $122.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $189.71 / $307.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.85 / $205.93 / $263.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.58 / $213.51 / $818.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.01 / $189.71 / $304.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $189.71 / $303.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $218.77 / $264.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.58 / $213.51 / $316.08