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Pennsylvania rates for HCPCS G0081

Brief (20 minutes) care management home visit for an existing 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
$59.60 / $59.60 / $59.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.82 / $50.32 / $59.60
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
$48.59 / $50.42 / $94.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.60 / $59.60 / $59.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $50.43 / $60.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $60.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $47.13 / $60.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $65.70 / $103.19