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Tennessee 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
Facility
Modifier
Low / Median / High Price
$227.64 / $227.64 / $227.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $130.08 / $130.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $76.50 / $76.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00