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Maryland rates for HCPCS G2015

Comprehensive (60 minutes) home care plan oversight. 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.)

Facilitymedian $120 · 10th–90th $107$1660%20%10th90th$120Professionalmedian $89 · 10th–90th $79$1120%20%10th90th$89$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$190.55
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$165.96