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Montana rates for HCPCS G2002

Limited (30 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
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $120.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $125.89 / $131.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $131.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $74.13 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $151.36