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Minnesota rates for HCPCS G0078

Moderate (45 minutes) care management home visit for a new patient. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Facilitymedian $355 · 10th–90th $132–$1,0230%10%20%10th90th$355Professionalmedian $162 · 10th–90th $112–$3550%10%10th90th$162$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $154.88 / $169.82
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $831.76
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $257.04 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $251.19 / $416.87