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California rates for HCPCS G0181

Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans

Facilitymedian $145 · 10th–90th $40–$6460%20%40%10th90th$145Professionalmedian $102 · 10th–90th $74–$1860%10%20%10th90th$102$1.0$5.0$20.0$100.0$500.0

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
$74.13 / $102.33 / $223.87
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $112.20 / $309.03
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $117.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $162.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
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
$39.81 / $91.20 / $147.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $63.10 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $288.40