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Ohio rates for HCPCS T1016

Case management, each 15 minutes

Facilitymedian $9 · 10th–90th $9–$90%50%$9Professionalmedian $9 · 10th–90th $9–$130%50%90th$9$1.0$2.0$5.0$10.0$20.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $12.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $60.26
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $11.48
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $11.48