| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $13.49 | $13.49 | $13.49 | |
Medcost
| Facility | $10.96 | $15.85 | $36.31 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.96 | $15.14 | $30.90 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $13.49 | $13.49 | $13.49 | |
Medcost
| Facility | $10.96 | $15.85 | $36.31 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.96 | $15.14 | $30.90 |