go back

Montana rates for HCPCS G0468

Federally Qualified Health Center (FQHC) visit, IPPE or AWV; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $130.08 / $130.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.13 / $130.08 / $143.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $1,800,000.00 / $2,400,000.00