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Idaho 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $79.33 / $101.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $69.04 / $69.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $101.14 / $129.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $131.32 / $150.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $139.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.53 / $115.92 / $120.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.61 / $110.74 / $145.35