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Missouri 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
Facility
Modifier
Low / Median / High Price
$21.70 / $21.70 / $26.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $21.70 / $27.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.14 / $20.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $23.92 / $46.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $25.01 / $146.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $23.40 / $39.46