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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.)

Professionalmedian $209 · 10th–90th $166$4270%10%20%10th90th$209$200.0$500.0$1.0K

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
$162.18
Median
$186.21
Typical High
$239.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$537.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$602.56