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Montana 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
Professional
Modifier
Low / Median / High Price
$59.24 / $69.29 / $93.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.51 / $122.51 / $122.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $86.26 / $122.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.78 / $74.89 / $122.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.05 / $132.47 / $204.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.74 / $131.08 / $149.16