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Hawaii 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
Professional
Modifier
Low / Median / High Price
$136.56 / $148.44 / $218.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.15 / $169.38 / $196.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $217.59 / $256.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.38 / $172.51 / $196.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $253.25 / $287.73