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Wisconsin 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–$1550%10%20%10th90th$49Professionalmedian $51 · 10th–90th $41–$1170%10%20%10th90th$51$50.0$100.0$200.0

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
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $154.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $93.33
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $46.77 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $93.33 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $97.72 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $131.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $158.49
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $269.15 / $331.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $144.54