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Extensive Care Management Home Visit, 75 Minutes

New Jersey 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 beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Rates data updated July 2026.

Professionalmedian $209 · 10th–90th $166$2450%20%10th90th$209$100.0$200.0$500.0$1.0K

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
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$309.03
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$407.38