go back

California rates for HCPCS G0175

Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $91.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $223.87 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $60.26