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Occupational Therapy Maintenance Program in Home Health

North Carolina rates for HCPCS G0160

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

Rates data updated July 2026.

How much does Occupational Therapy Maintenance Program in Home Health cost?

$21.38

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $21.38 for this service. Most negotiated rates run $21.38 to $21.38.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $100Professionalmedian $21 · 10th to 90th $21 to $21
$20$50$100facility $21professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$25.70
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 15.1 times more in Montana than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 40th of 50

$21.38

MT $79.43RI $5.25

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.