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Home Visit for Patient Assessment (BPCI Initiative)

Michigan 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 $44 · 10th–90th $42$590%50%10th90th$44$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
$41.69
Median
$43.65
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$67.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$43.65
Typical High
$60.26
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$58.88