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New Hampshire 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
$11.11 / $13.26 / $15.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $13.26 / $23.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $21.52 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $32.84 / $63.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $26.27 / $33.43