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Texas 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
$135.55 / $145.59 / $183.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.81 / $149.18 / $149.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $154.15 / $154.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.08 / $1,090.08 / $1,412.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.31 / $217.82 / $301.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $154.15 / $155.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.96 / $189.08 / $277.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $164.09 / $227.04