go back

Idaho 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.73 / $98.73 / $98.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $96.10 / $98.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $20.93 / $20.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.10 / $98.73 / $123.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $93.50 / $151.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00