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Minnesota 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
$96.86 / $96.86 / $96.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $94.81 / $103.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.38 / $169.27 / $389.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.87 / $264.89 / $341.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.64 / $314.33 / $688.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.60 / $120.45 / $139.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.34 / $282.12 / $649.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $109.50 / $114.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.39 / $158.61 / $247.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $175.01 / $327.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $170.49 / $285.81