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Pennsylvania rates for HCPCS G2015

Comprehensive (60 mins) 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.72 / $82.72 / $82.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $87.41 / $107.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $107.25 / $168.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $92.55 / $92.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.72 / $82.72 / $82.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.67 / $87.50 / $108.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $92.55 / $92.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.97 / $101.97 / $118.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.45 / $101.97 / $118.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.61 / $128.69 / $211.93