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Virginia 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
$30.97 / $48.48 / $52.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $50.26 / $54.83
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
$40.75 / $48.90 / $54.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $44.21 / $44.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.33 / $44.07 / $53.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.23 / $37.78 / $75.55