go back

New York rates for HCPCS G2007

Limited (30 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
$61.10 / $68.50 / $88.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.35 / $74.53 / $132.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $117.18 / $117.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $69.93 / $69.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $124.57 / $182.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $85.27 / $132.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $73.66 / $198.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $91.54 / $191.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $85.27 / $143.82