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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $44.09 / $56.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $67.50 / $68.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.19 / $42.68 / $62.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $69.41 / $94.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $73.09 / $109.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $59.29 / $94.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $67.70 / $67.70