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Utah 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
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.79 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $83.18
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
$75.86 / $97.72 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $131.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $123.03