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New Jersey 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 / $181.97 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $389.05