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Extensive Care Management Home Visit, 75 Minutes

Washington 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 $219 · 10th–90th $170$4270%10%10th90th$219$50.0$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
$165.96
Median
$194.98
Typical High
$281.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$562.34
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$457.09