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Texas 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
$130.08 / $130.08 / $130.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $130.08 / $130.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $84.00 / $92.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.43 / $1.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.57 / $223.57 / $223.57
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.13 / $130.08 / $275.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.58 / $160.76 / $236.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.49 / $130.08 / $275.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17