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North Dakota 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
$91.20 / $91.20 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $102.33 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $208.93