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Virginia 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
$92.03 / $98.27 / $111.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.74 / $111.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.18 / $110.94 / $167.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.32 / $111.32 / $217.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.03 / $109.16 / $109.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $111.65 / $155.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.03 / $100.91 / $159.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $165.00 / $229.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $116.09 / $181.74
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $116.09 / $181.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.47 / $100.49 / $162.94