go back

Michigan 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
$82.73 / $82.73 / $82.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.24 / $70.48 / $82.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.53 / $115.53 / $115.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $121.31 / $144.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $69.04 / $103.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $78.89 / $82.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $78.89 / $104.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $68.73 / $99.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $89.72 / $114.02