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Massachusetts 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.33 / $88.33 / $88.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $83.10 / $106.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.78 / $449.39 / $449.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $142.35 / $558.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.82 / $105.82 / $105.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $79.45 / $112.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.84 / $87.84 / $111.96
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.16 / $119.93 / $183.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.36 / $216.80 / $277.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.78 / $449.39 / $449.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $142.35 / $558.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $130.32 / $238.63