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Massachusetts 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
$199.76 / $199.76 / $199.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.76 / $199.76 / $243.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.11 / $347.11 / $934.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.62 / $269.23 / $518.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.25 / $505.07 / $674.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $164.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $273.68 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.02 / $247.72 / $338.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.88 / $226.92 / $471.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.11 / $347.11 / $934.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.62 / $266.95 / $518.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.62 / $266.95 / $453.86