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Maryland 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
$131.83 / $147.91 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $181.97 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $257.04