go back

Nebraska 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 / $130.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $30.56 / $30.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.90 / $517.53 / $617.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.35 / $112.32 / $202.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17