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Nationwide rates for HCPCS G0158

Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes

Facilitymedian $23 · 10th–90th $18–$1000%50%10th90th$23Professionalmedian $23 · 10th–90th $5–$360%50%10th90th$23$0.0$0.2$2.0$20.0$200.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $22.91 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88

See more rates by state

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