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Montana 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
$23.88 / $23.88 / $23.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $19.17 / $24.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $21.03 / $27.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.03 / $27.34 / $27.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $21.03 / $27.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $19.05 / $27.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $21.03 / $27.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $40.02 / $56.58