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Washington, DC 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.)

Professionalmedian $191 · 10th–90th $166$2400%20%10th90th$191$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$446.68