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Nationwide rates for HCPCS G2004

Comprehensive (60 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
$146.96 / $148.49 / $163.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $151.15 / $186.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.63 / $189.16 / $436.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $183.45 / $292.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.89 / $182.89 / $182.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $217.32 / $342.40