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Idaho rates for HCPCS G2001

Brief (20 minutes) in-home visit for a new patient postdischarge. 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 within 90 days following discharge from an inpatient facility and no more than nine times.)

Facilitymedian $49 · 10th–90th $42–$740%20%10th90th$49Professionalmedian $46 · 10th–90th $40–$680%20%10th90th$46$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $45.71 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $81.28 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $47.86 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $97.72