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New Jersey 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
$159.72 / $159.72 / $159.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $147.47 / $183.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.98 / $218.98 / $218.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $167.03 / $171.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.67 / $199.50 / $342.40