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Ohio rates for HCPCS G2013

Extensive (75 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
$162.18 / $177.83 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $239.88 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $389.05