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Illinois rates for HCPCS G0421

Face-to-face educational services related to the care of chronic kidney disease; group, per session, per 1 hour

Professionalmedian $27 · 10th–90th $21$380%20%10th90th$27$0.5$2.0$10.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $28.84
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $42.66 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $50.12