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Nursing Facility Evaluation for Acute Change in Condition

Arizona rates for HCPCS G9685

Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. This service is for a demonstration project

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $89$7410%5%10%10th90th$372Professionalmedian $151 · 10th–90th $141$3240%50%10th90th$151$100.0$200.0$500.0$1.0K

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
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$380.19
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$338.84