go back

California rates for HCPCS G2005

Extensive (75 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
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $676.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $346.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $239.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $562.34