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California rates for HCPCS G2006

Brief (20 minutes) in-home visit for an existing 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
$39.81 / $44.67 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $169.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $77.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $389.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $79.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $138.04