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New York rates for HCPCS G0080

Extensive (75 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
Professional
Modifier
Low / Median / High Price
$131.96 / $199.74 / $244.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $228.30 / $371.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.80 / $307.80 / $307.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.55 / $328.12 / $484.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.38 / $218.75 / $351.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $186.74 / $516.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.62 / $249.33 / $506.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.50 / $226.23 / $381.60