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Nebraska 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
$144.11 / $144.11 / $152.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $144.11 / $157.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $149.25 / $150.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $229.98 / $379.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.97 / $161.15 / $300.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.04 / $341.31 / $501.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.21 / $299.94 / $379.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.21 / $299.94 / $450.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.54 / $341.31 / $429.35