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Washington 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
$165.96 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $204.17 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $316.23 / $346.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $234.42 / $234.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $177.83 / $316.23