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Wisconsin 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 / $41.06 / $56.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.39 / $72.19 / $207.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $77.06 / $87.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $65.59 / $118.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $50.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.51 / $112.80 / $146.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.19 / $310.19 / $310.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $69.31 / $116.75