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Indiana rates for HCPCS G2003

Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary?s home,

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.92 / $88.92 / $88.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $102.14 / $125.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.35 / $125.43 / $242.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.35 / $125.43 / $168.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $107.43 / $165.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.88 / $133.66 / $183.41