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Pennsylvania rates for HCPCS G0076

Brief (20 minutes) care management home visit for a new patient. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $58.80 / $58.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.83 / $49.80 / $58.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.57 / $51.44 / $94.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $44.04 / $44.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $58.80 / $58.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $51.55 / $60.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $44.04 / $44.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.10 / $48.10 / $60.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.96 / $48.10 / $60.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.21 / $66.95 / $104.50