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Nebraska 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

Facilitymedian $316 · 10th–90th $155–$9330%20%10th90th$316Professionalmedian $166 · 10th–90th $158–$3800%50%10th90th$166$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $162.18 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $346.74 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $346.74 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $389.05 / $512.86