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South Carolina 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
$61.78 / $67.41 / $78.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $77.48 / $101.07
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 / $69.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $79.39 / $130.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $79.39 / $185.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $80.86 / $126.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $83.33 / $125.00