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New Hampshire rates for HCPCS G2025

Payment For A Telehealth Distant Site Service Furnfurnished 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 / $95.64 / $95.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.03 / $109.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.73 / $97.73 / $97.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $99.67 / $206.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $177.87 / $333.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $143.30 / $272.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.24 / $116.69 / $171.53