go back

Indiana 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
$117.41 / $117.41 / $117.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $139.81 / $167.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.63 / $175.63 / $338.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.63 / $175.63 / $236.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $231.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.90 / $189.39 / $257.11