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Extensive Care Management Home Visit, 75 Minutes

Ohio 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 $200 · 10th–90th $166$2820%20%40%10th90th$200$5.0$20.0$100.0$500.0

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
$147.91
Median
$199.53
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$380.19