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Massachusetts 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
$162.18 / $186.21 / $239.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $537.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $588.84