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Iowa rates for HCPCS G0459

Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy

Facilitymedian $50 · 10th–90th $49–$950%20%40%10th90th$50Professionalmedian $41 · 10th–90th $33–$930%20%10th90th$41$50.0$100.0$200.0

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
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $53.70 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $87.10 / $97.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $67.61 / $102.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $85.11 / $102.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $87.10 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $67.61 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $87.10 / $107.15