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Illinois 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
$94.45 / $96.87 / $134.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $95.17 / $103.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $88.85 / $89.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.16 / $109.16 / $109.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $92.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $91.76 / $145.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $111.17 / $170.37