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Pennsylvania 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
$40.10 / $43.41 / $54.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $50.42 / $82.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $43.41 / $55.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $43.15 / $43.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $47.13 / $60.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $63.23 / $101.86