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Pennsylvania 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
$165.96 / $177.83 / $234.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $234.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $213.80 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $407.38