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Washington rates for HCPCS G9985

Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires at least two of the following three key components: a detailed history; a detailed examination; medical decision making of moderate 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 to high severity. Typically, 25 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
$80.68 / $94.02 / $113.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $75.84 / $94.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.53 / $156.75 / $424.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $209.88 / $698.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $102.67 / $102.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.52 / $94.21 / $183.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.52 / $93.42 / $169.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.88 / $198.74 / $347.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.84 / $188.65 / $229.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.53 / $110.53 / $156.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.16 / $180.56 / $265.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $155.43 / $245.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $133.21 / $224.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.25 / $95.25 / $113.31