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Texas 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
$61.66 / $67.61 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $128.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $97.72