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Pennsylvania rates for HCPCS G0084

Comprehensive (60 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
Professional
Modifier
Low / Median / High Price
$119.35 / $167.86 / $193.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.83 / $179.36 / $305.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $154.15 / $154.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.01 / $260.01 / $260.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $170.70 / $202.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $154.15 / $154.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $171.15 / $195.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $216.58 / $343.41