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Wyoming 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
$152.52 / $152.52 / $155.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.13 / $178.74 / $224.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $284.00 / $284.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $176.50 / $249.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.71 / $334.10 / $509.26