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Indiana 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
$112.32 / $112.32 / $112.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $112.32 / $112.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $51.60 / $69.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.22 / $244.22 / $316.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.95 / $280.85 / $329.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00