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Utah 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
$101.24 / $101.24 / $101.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $81.03 / $110.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $79.45 / $79.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $64.69 / $80.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $121.06 / $143.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $106.00 / $159.00