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Minnesota 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
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $181.97 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $95.50 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18