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Utah 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
$14.31 / $14.31 / $16.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $16.34 / $23.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $45.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $19.05 / $42.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $17.93 / $28.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $20.01 / $35.19