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New Hampshire 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
$154.11 / $199.43 / $239.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.11 / $182.71 / $216.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $197.36 / $299.17
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
$136.27 / $245.94 / $433.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.67 / $291.52 / $505.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.36 / $231.40 / $294.50