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Iowa rates for HCPCS G0425

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth

Facilitymedian $115 · 10th–90th $87–$2090%20%10th90th$115Professionalmedian $98 · 10th–90th $78–$3630%10%20%10th90th$98$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $213.80
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $154.88 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $117.49 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $177.83 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $275.42
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $128.82