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South Carolina 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
$43.65 / $44.73 / $54.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.71 / $47.71 / $47.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $44.21 / $44.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $25.79 / $30.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $44.39 / $65.09