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Missouri 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
$113.23 / $113.23 / $139.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.23 / $139.91 / $191.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $167.03 / $249.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.89 / $154.19 / $303.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.62 / $218.59 / $1,105.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $217.12 / $306.47