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Virginia rates for HCPCS G2020

Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the SIP component of the PCF model (do not bill with chronic care management codes)

Facilitymedian $10,000 · 10th–90th $4,074–$10,9650%50%10th90th$10,000Professionalmedian $4 · 10th–90th $3–$50%20%40%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $4.68
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $10,000.00 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $10,000.00 / $10,964.78