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Massachusetts 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
$92.03 / $92.03 / $92.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.03 / $110.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.45 / $498.64 / $498.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $146.13 / $599.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.23 / $239.03 / $279.91
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 / $86.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.49 / $99.26 / $126.50
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.53 / $136.32 / $188.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.60 / $237.10 / $303.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.45 / $498.64 / $498.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $143.30 / $599.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $134.69 / $282.20