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North Dakota 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
$113.44 / $113.44 / $113.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.10 / $122.42 / $122.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.44 / $121.56 / $206.89