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Pennsylvania rates for HCPCS G0077

Limited (30 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
$83.53 / $83.53 / $83.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $73.34 / $84.23
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
$74.04 / $76.83 / $136.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $65.77 / $65.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.35 / $109.35 / $109.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.53 / $83.53 / $83.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.32 / $74.66 / $87.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $65.77 / $65.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $71.98 / $86.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.15 / $72.01 / $86.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.69 / $93.94 / $140.33