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California rates for HCPCS G0471

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)

Facilitymedian $3 · 10th–90th $2$170%20%10th90th$3Professionalmedian $4 · 10th–90th $2$110%10%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0$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
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $2.00 / $10.23
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $29.51 / $60.26
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $14.13 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $14.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $19.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.23 / $22.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $10.23
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $6.17 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $13.49