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Missouri 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
$75.00 / $98.27 / $142.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $95.86 / $103.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.07 / $88.07 / $124.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.14 / $104.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.57 / $112.16 / $203.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $107.17 / $599.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $97.06 / $149.63