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Utah 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
$86.11 / $86.11 / $86.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $69.89 / $93.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $69.04 / $69.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $64.69 / $80.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.31 / $102.96 / $122.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.80 / $90.40 / $136.36