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Coordinated Care Fee, Risk Adjusted Maintenance, Level 3

Texas rates for HCPCS G9009

Coordinated care fee, risk adjusted maintenance, Level 3

Rates data updated July 2026.

How much does Coordinated Care Fee, Risk Adjusted Maintenance, Level 3 cost?

$891

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $1.70 from a physician practice, and about $891 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.70$1.26 to $708
FacilityA hospital or hospital-owned outpatient department$891$891 to $891

How much rates vary

Facilitymedian $891 · 10th to 90th $891 to $891Professionalmedian $2 · 10th to 90th $1 to $891
$0.1$1.0$10.0$100.0$1.0Kfacility $891professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$891.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.70

Where Texas sits

The same service costs 501187.2 times more in Virginia than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $891 · 7th of 39
VA $10,000SD $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.