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North Carolina rates for HCPCS G9680

Onsite acute care treatment of a nursing facility resident with CHF. May only be billed once per day per beneficiary

Facilitymedian $100 · 10th–90th $100–$1000%50%100%$100Professionalmedian $100 · 10th–90th $76–$1000%50%10th$100$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $100.00
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00