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Nationwide rates for HCPCS G9489

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 Comprehensivehistory; A Comprehensive Examination; Medical Decision Making Of High Complexity. Typically 40 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $75.56	Facility	$69.66	$69.66	$75.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $69.29 / $82.35	Professional	$60.84	$69.29	$82.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $84.61 / $150.77	Professional	$59.20	$84.61	$150.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility	$92.30	$92.30	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional	$69.04	$69.04	$69.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $93.70 / $149.88	Professional	$70.95	$93.70	$149.88

Nationwide rates for HCPCS G9489

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