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California rates for HCPCS G2009

Comprehensive (60 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
$134.90 / $151.36 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $549.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $288.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $199.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $457.09