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Nebraska rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Facilitymedian $100 · 10th–90th $35$2510%10%10th90th$100Professionalmedian $87 · 10th–90th $74$1290%50%10th90th$87$10.0$20.0$50.0$100.0$200.0$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
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $95.50 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $169.82
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $75.86 / $83.18