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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
$39.81 / $43.65 / $57.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $51.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $43.65 / $57.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $47.86 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $100.00