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Virginia 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
$151.36 / $151.36 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $162.18 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $213.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $165.96 / $229.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $199.53 / $257.04
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $371.54