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Maine 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 / $159.72 / $183.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $197.36 / $301.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.61 / $195.38 / $337.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $160.49 / $191.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.41 / $256.06 / $319.12