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Nebraska 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
$92.57 / $92.57 / $92.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.57 / $97.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.57 / $120.36 / $120.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.81 / $89.28 / $90.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $127.72 / $228.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.57 / $150.00 / $185.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.32 / $167.90 / $599.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.05 / $141.68 / $227.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.05 / $140.26 / $227.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.30 / $163.79 / $176.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.32 / $172.29 / $237.74