Tynbil: Know the *real* price for healthcare services

New Jersey 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 $37.79 / $49.21 / $53.77	Professional	$37.79	$49.21	$53.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $67.50	Professional	$42.56	$42.56	$67.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $49.51 / $61.89	Professional	$49.51	$49.51	$61.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $43.95 / $51.71	Professional	$35.72	$43.95	$51.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $53.45 / $89.31	Professional	$26.63	$53.45	$89.31