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Oklahoma 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
$142.51 / $142.51 / $142.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.29 / $144.50 / $183.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.58 / $148.12 / $261.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.59 / $198.00 / $1,105.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.69 / $195.32 / $251.86