go back

Pennsylvania 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 / $147.91 / $186.21
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $186.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $173.78 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $331.13