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Massachusetts 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
$75.56 / $75.56 / $75.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $71.27 / $90.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.12 / $390.66 / $390.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $121.56 / $485.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.30 / $92.30 / $92.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $69.04 / $96.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.31 / $76.31 / $97.27
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $104.21 / $159.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.03 / $188.39 / $241.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.12 / $390.66 / $390.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $121.56 / $485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $105.92 / $187.37