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Tennessee 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
$137.07 / $163.98 / $239.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.59 / $151.15 / $180.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.38 / $788.47 / $788.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.55 / $1,105.55 / $1,277.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.84 / $194.03 / $365.02