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Nursing Facility Evaluation for Acute Change in Condition

Hawaii 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.

Professionalmedian $209 · 10th–90th $186$2820%20%10th90th$209$200.0

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
HMSA
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$316.23