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New York 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
$151.96 / $174.39 / $199.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.01 / $151.96 / $243.38
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.27 / $280.27 / $280.27
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.27 / $280.27 / $280.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $164.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $280.50 / $460.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.85 / $313.89 / $569.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.76 / $174.39 / $174.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.39 / $200.97 / $339.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $172.42 / $480.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.05 / $230.33 / $447.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.39 / $191.04 / $208.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.76 / $191.04 / $201.01