go back

New York 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
$27.87 / $44.03 / $55.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $43.89 / $60.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $61.79 / $61.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $67.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $35.52 / $49.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $42.44 / $43.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $42.56 / $80.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $53.66 / $97.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $43.00 / $43.17