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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.)

Professionalmedian $200 · 10th–90th $166$3090%20%10th90th$200$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
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$446.68