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California 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 $5–$1000%20%40%10th90th$23Professionalmedian $23 · 10th–90th $5–$780%50%10th90th$23$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $22.91 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $21.88 / $21.88
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.94 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $89.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $22.91 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $104.71