go back

Connecticut 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
$27.87 / $37.79 / $55.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $59.24 / $94.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $34.97 / $49.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $74.45 / $80.48