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New Hampshire 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
$99.11 / $99.11 / $99.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $99.11 / $122.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $308.67 / $390.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00