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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $229.09 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $112.20 / $138.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $69.18 / $97.72
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $70.79 / $104.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $141.25 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $234.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $467.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $380.19 / $467.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $208.93