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Texas 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.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.99 / $43.56 / $44.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.33 / $43.56 / $56.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.81 / $48.81 / $48.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $44.04 / $44.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.12 / $246.06 / $246.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.57 / $332.57 / $398.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.99 / $47.02 / $65.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.66 / $62.23 / $86.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.99 / $47.02 / $65.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $44.04 / $45.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $58.22 / $86.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $47.02 / $65.03