Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.44 | $49.44 | $121.00 | |
Aetna
| Professional | $36.90 | $44.32 | $54.88 | |
BCBS
| Facility | $69.70 | $69.70 | $69.70 | |
BCBS
| Professional | $62.74 | $69.70 | $87.14 | |
Cigna
| Professional | $51.51 | $64.28 | $101.92 | |
Health Alliance Plan
| Facility | $49.44 | $51.23 | $51.23 | |
Health Alliance Plan
| Professional | $39.14 | $51.23 | $79.40 | |
Molina
| Professional | $54.60 | $67.47 | $94.67 | |
United
| Professional | $49.03 | $56.77 | $75.34 |