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California 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.33 / $207.64 / $207.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.02 / $182.33 / $207.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $126.90 / $317.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $164.86 / $174.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.82 / $203.82 / $224.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.70 / $215.36 / $424.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.48 / $934.12 / $934.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.07 / $1,215.07 / $1,506.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.86 / $260.73 / $319.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $166.28 / $190.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.15 / $652.15 / $652.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.16 / $227.23 / $483.58