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Mississippi 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
$60.76 / $60.76 / $60.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.76 / $69.66 / $87.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.89 / $103.73 / $103.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $69.04 / $69.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.69 / $81.56 / $111.82