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New Mexico rates for HCPCS G0439

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $124.84 / $182.96
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$92.72 / $138.02 / $400.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.99 / $122.89 / $187.95
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$112.62 / $122.89 / $129.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $528.36 / $938.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $121.10 / $187.62
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $198.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.49 / $127.74 / $152.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $132.11 / $132.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.47 / $165.75 / $230.75