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Idaho rates for HCPCS G2025

Payment for a telehealth distant site service furnished by a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.60 / $88.60 / $88.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.60 / $92.03 / $109.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.82 / $97.56 / $139.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.84 / $165.29 / $188.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $94.45 / $185.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.09 / $145.31 / $145.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.05 / $144.77 / $151.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $122.40 / $160.66