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Home Visit for Patient Assessment (BPCI Initiative)

Iowa 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

Rates data updated July 2026.

Professionalmedian $47 · 10th–90th $40$580%20%40%10th90th$47$50.0$100.0

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
$39.81
Median
$43.65
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$69.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$69.18
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$70.79