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Massachusetts rates for HCPCS G0078

Moderate (45 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
$121.01 / $121.01 / $121.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.92 / $121.29 / $154.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.07 / $601.19 / $601.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $205.96 / $768.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $107.43 / $155.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $179.19 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $172.93 / $284.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.88 / $207.91 / $321.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.07 / $601.19 / $601.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $208.74 / $768.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $175.81 / $297.54