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Nationwide rates for HCPCS G0159

Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes

Facilitymedian $22 · 10th–90th $18$930%50%10th90th$22Professionalmedian $22 · 10th–90th $8$360%50%10th90th$22$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
$5.01 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $21.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $218.78 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $54.95