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New York 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
$162.41 / $180.73 / $233.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.96 / $196.42 / $349.21
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.80 / $307.80 / $307.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.55 / $328.12 / $484.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.38 / $226.23 / $351.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $193.78 / $526.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.85 / $241.66 / $507.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.50 / $226.23 / $381.60