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Pennsylvania rates for HCPCS G0086

Limited (30 minutes) care management home care plan oversight. 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
$84.20 / $84.20 / $84.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.24 / $73.38 / $84.20
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
$73.68 / $76.45 / $131.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $66.06 / $66.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $112.40 / $112.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.20 / $84.20 / $84.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $74.03 / $87.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $66.06 / $66.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.94 / $72.94 / $83.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $72.94 / $83.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $93.40 / $142.38