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Virginia 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 beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.74 / $211.46 / $244.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.29 / $220.00 / $279.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $198.90 / $265.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.00 / $348.00 / $404.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.88 / $257.24 / $394.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $255.36 / $457.18