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California rates for HCPCS G9187

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $44.09 / $235.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $59.81 / $102.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $35.53 / $57.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $67.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $62.76 / $69.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $56.48 / $109.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $44.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.85 / $145.85 / $145.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.67 / $45.48 / $111.83