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Massachusetts 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
$47.91 / $48.40 / $58.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $59.48 / $131.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $54.00 / $67.50
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.65 / $59.59 / $77.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $58.57 / $58.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $59.48 / $131.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $58.53 / $119.03