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Maine 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 / $190.55 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $416.87