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Nationwide rates for HCPCS G9484

Remote In-Home Visit For The Evaluation And Management Of A New Patient For Use Only In A Medicare-Approved Cms Innovation Center Demonstration Project Which Requires These 3 Key Components: A Comprehensive History; A Compre- Hensive Examination; Medical Decision Making Of Moderate Complexity Typically 45 Minutes Are Spent With The Patient Or Family Or Both Via Real Time Audio And Video Intercommunications Technology (Desc Revised 1/1/2018)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $81.03 / $88.33	Facility	$81.03	$81.03	$88.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $80.64 / $95.27	Professional	$70.01	$80.64	$95.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $98.18 / $174.93	Professional	$68.38	$98.18	$174.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility	$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional	$79.45	$79.45	$79.45
United Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $109.64 / $176.33	Professional	$82.62	$109.64	$176.33

Nationwide rates for HCPCS G9484

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