go back

California rates for HCPCS G0080

Extensive (75 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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $206.63 / $277.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.33 / $276.92 / $620.97
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.95 / $227.98 / $358.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $256.20 / $314.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $209.62 / $376.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.62 / $1,338.62 / $1,683.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $184.50 / $337.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.26 / $720.26 / $720.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.68 / $244.05 / $738.84