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Nationwide rates for HCPCS G0467

Federally Qualified Health Center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established 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

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	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $144.54	Facility	$69.18	$95.50	$144.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $190.55	Professional	$69.18	$95.50	$190.55
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.02 / $52.48 / $61.66	Professional	$0.02	$52.48	$61.66
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Facility	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $89.13 / $162.18	Professional	$50.12	$89.13	$162.18

Nationwide rates for HCPCS G0467

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