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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
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $177.83