go back

Ohio rates for HCPCS G9980

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: a detailed history; a detailed examination; medical decision making of low complexity, 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 moderate severity. Typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $77.62 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $66.07 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $107.15 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $138.04