go back

Michigan rates for HCPCS G0466

Federally Qualified Health Center (FQHC) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.42 / $122.42 / $122.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $122.42 / $122.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.97 / $112.80 / $148.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.42 / $122.42 / $122.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $122.42 / $221.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00