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Pennsylvania 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
$95.22 / $95.22 / $95.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $102.69 / $128.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.79 / $125.63 / $204.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $107.43 / $107.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.51 / $178.51 / $178.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $95.22 / $95.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.55 / $102.88 / $131.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $107.43 / $107.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.45 / $119.45 / $143.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.49 / $119.45 / $143.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.31 / $153.02 / $240.85