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Utah 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
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $89.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $85.11