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Montana 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
$134.90 / $158.49 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $281.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $302.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $165.96 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $181.97 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $354.81