go back

New York 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 $20–$710%10%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
$16.98 / $24.55 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $40.74
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $57.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $57.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $41.69 / $199.53
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $46.77