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Vermont 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 / $92.03 / $92.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.03 / $97.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $108.43 / $127.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $139.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $131.00 / $289.77