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Pennsylvania 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
$39.47 / $43.65 / $52.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $47.63 / $86.48
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
$49.51 / $49.51 / $53.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $43.65 / $53.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $54.00 / $67.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $50.42 / $71.43