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Pennsylvania rates for HCPCS G9987

Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status,

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $36.77 / $36.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $36.90 / $46.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $47.63 / $78.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $36.77 / $36.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $36.90 / $50.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.37 / $43.37 / $47.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $43.37 / $47.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $52.53 / $82.96