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California rates for HCPCS G0490

Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $33.79 / $33.79
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $57.01 / $64.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $155.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $33.79 / $43.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19