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Pennsylvania rates for HCPCS G0087

Comprehensive (60 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
$117.85 / $117.85 / $117.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $100.96 / $117.85
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
$103.35 / $107.25 / $185.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $92.55 / $92.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.85 / $117.85 / $117.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $103.80 / $120.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $92.55 / $92.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.97 / $101.97 / $118.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.45 / $101.97 / $118.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.61 / $128.69 / $211.93