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New York 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
$133.81 / $150.50 / $188.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $158.93 / $290.64
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.60 / $249.60 / $249.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $154.15 / $154.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.03 / $273.52 / $407.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $188.62 / $293.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $157.22 / $425.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.53 / $195.37 / $396.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.65 / $188.62 / $318.14