go back

Oregon 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
$38.82 / $59.97 / $235.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $40.07 / $133.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $80.64 / $115.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $88.13 / $98.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.53 / $73.64 / $123.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $87.33 / $132.63