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California rates for HCPCS G0470

Federally Qualified Health Center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $78.12 / $78.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $112.32 / $112.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $48.90 / $94.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.10 / $618.15 / $643.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $200.00 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $97.65 / $129.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $1,800,000.00