go back

South Carolina 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
$117.49 / $117.49 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $102.33 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $102.33 / $173.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $141.25