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 | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.78 | $43.58 | $52.15 | |
Anthem BCBS
| Professional | $40.63 | $50.26 | $105.51 | |
Cigna
| Professional | $42.56 | $42.56 | $67.50 | |
Medical Mutual of Ohio
| Professional | $42.56 | $42.56 | $42.56 | |
Molina
| Professional | $20.87 | $28.36 | $42.86 | |
United
| Professional | $31.07 | $45.80 | $67.93 |