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Massachusetts rates for HCPCS G2003

Moderate (45 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
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $141.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $194.98 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $295.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $338.84