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West 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
$91.68 / $91.69 / $96.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $92.92 / $111.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.37 / $102.78 / $135.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $134.06 / $210.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.16 / $109.16 / $109.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $86.90 / $86.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $76.01 / $83.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.61 / $103.12 / $148.58