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Nationwide rates for HCPCS G0180

Physician Certification Services For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (Patient Not Present) Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians To Affirm The Initial Implementation Of The Plan Of Care That Meets Patients Needs Per Certificaton Period (Updated 01-01-2003)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.60	Facility	$51.10	$51.10	$51.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $51.21 / $61.85	Professional	$44.80	$51.21	$61.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $157.00	Facility	$1.33	$1.33	$157.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $60.21 / $82.89	Professional	$52.08	$60.21	$82.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $65.18 / $65.18	Facility	$65.18	$65.18	$65.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $75.00	Professional	$47.91	$47.91	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $59.25 / $101.16	Professional	$45.87	$59.25	$101.16

Nationwide rates for HCPCS G0180

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