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Maine rates for HCPCS G0071

Payment for communication technology-based services for 5 minutes or more of a virtual (nonface-to-face) communication between a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) practitioner and RHC or FQHC patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an RHC or FQHC practitioner, occurring in lieu of an office visit; RHC or FQHC only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.73 / $23.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $23.88 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $21.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $12.73 / $23.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $20.77 / $35.40