Tynbil: Know the *real* price for healthcare services

Maine 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $41.12	Professional	$41.12	$41.12	$41.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $46.72 / $46.72	Professional	$46.72	$46.72	$46.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Professional	$42.56	$42.56	$42.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $47.91	Professional	$41.12	$41.12	$47.91
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $46.40 / $95.86	Professional	$34.68	$46.40	$95.86