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Pennsylvania rates for HCPCS G9488

Remote In-Home Visit For The Evaluation And Management Of An Established Patient For Use Only In A Medicare-Approved Cms Innovation Center Demonstration Project Which Requires At Least 2 Of The Following 3 Key Components: A Detailed History; A Detailed Examination; Medical Decision Making Of Moderate Complexity. Typically 25 Minutes Are Spent With The Patient Or Family Or Both Via Real Time Audio And Video Inter- Communications Technology (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.36 / $44.48 / $44.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $44.48 / $53.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.19 / $58.31 / $104.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.03 / $65.03 / $65.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $49.10 / $49.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.51 / $119.51 / $119.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $80.61 / $112.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.36 / $44.48 / $44.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $45.85 / $56.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.90 / $131.50 / $131.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.03 / $65.03 / $65.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $49.10 / $49.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $55.13 / $62.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.03 / $55.87 / $56.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.26 / $60.90 / $106.83