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Pennsylvania rates for HCPCS G0085

Extensive (75 Minutes) Care Management Home Visit For An Existing Patient. For Use Only In A Medicare-Approved Cmmi Model. (Services Must Be Furnished Within A Beneficiarys Home Domiciliary Rest Home Assisted Living And/Or Nursing Facility)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $207.54 / $237.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.28 / $215.10 / $378.47
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
$309.45 / $309.45 / $309.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.31 / $211.08 / $245.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.58 / $204.78 / $241.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $267.52 / $412.44