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Louisiana 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
$175.67 / $180.49 / $190.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $160.26 / $191.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.01 / $159.01 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $217.32 / $312.89