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Michigan 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 $21 · 10th–90th $21–$350%50%90th$21Professionalmedian $12 · 10th–90th $8–$230%10%10th90th$12$10.0$20.0$50.0$100.0$200.0

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
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $34.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $20.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $25.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $22.39 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $20.42