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Oregon 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 $363 · 10th–90th $219$3800%50%10th90th$363Professionalmedian $170 · 10th–90th $148$3630%20%10th90th$170$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$354.81
Typical High
$436.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$602.56
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$501.19