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Maine rates for HCPCS G0409

Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a CORF qualified social worker or psychologist in a CORF)

Facilitymedian $12 · 10th–90th $12–$120%50%100%$12Professionalmedian $17 · 10th–90th $8–$340%10%10th90th$17$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $57.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $46.77