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Ohio 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
$124.29 / $147.51 / $423.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.29 / $144.74 / $183.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $179.40 / $477.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.84 / $148.65 / $208.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.26 / $209.98 / $318.44