go back

California rates for HCPCS G0085

Extensive (75 Minutes) Care Management Home Visit For An Existing Patient. For Use Only In A Medicare-Approved Cmmi Model. (Services Must Be Furnished Within A Beneficiarys 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 / $256.64 / $582.67
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
$173.88 / $246.81 / $590.61