Home health physical therapy maintenance, per 15 minutes

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HH Pt Maintenance Program

Payers reporting HCPCS G0159

Payer pricing summary

Low

Average

$240

Median

$140

High

$1.2k

Payer rate distribution

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Filter by billing class

#
1	MultiPlan percent of total billed charges · outpatientfrom % of charges	28	$182	$740	$552	75%	—	$126 – $1.4k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	23	$62	$64	$38	60%	—	$36 – $183
3	Aetna fee schedule · outpatient · +10 other terms	21	$25	$51	$32	63%	—	$22 – $142
4	Cigna per diem · outpatient · +9 other terms	19	$188	$141	$30	21%	—	$75 – $188
5	Medcost percent of total billed charges · outpatientfrom % of charges	13	$161	$161	$9	6%	—	$152 – $170
6	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	13	$79	$73	$35	48%	—	$32 – $103
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$114	$86	$49	57%	—	$36 – $143
8	UnitedHealthcare per diem · outpatient · +10 other terms	9	$150	$220	$110	50%	—	$84 – $395
9	Anthem professional · fee schedule · outpatient · +4 other terms	8	$22	$22	—	—	—	$22 – $22
10	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$23	$23	—	—	—	$23 – $23
11	Humana fee schedule · outpatient · +8 other terms	6	$22	$605	$547	90%	—	$22 – $1.6k
12	Kaiser percent of total billed charges · outpatientfrom % of charges	6	$99	$99	—	—	—	$99 – $99
13	Medicaid percent of total billed charges · outpatientfrom % of charges	6	$21	$23	$8	35%	—	$12 – $36
14	Oscar per diem · outpatient	6	$140	$140	—	—	—	$140 – $140
15	Phcs percent of total billed charges · outpatientfrom % of charges	6	$99	$99	—	—	—	$99 – $99
16	Ambetter percent of total billed charges · outpatientfrom % of charges	4	$123	$123	—	—	—	$123 – $123
17	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$1.1k	$1.2k	$61	5%	—	$1.1k – $1.3k
18	First Health professional · fee schedule · both · +1 other terms	3	$24	$24	—	—	—	$24 – $24
19	Magellan percent of total billed charges · outpatientfrom % of charges	3	$847	$605	$341	56%	—	$123 – $847
20	Medica fee schedule · outpatient	2	$210	$210	$189	90%	—	$74 – $478
21	Molina fee schedule · outpatient · +5 other terms	2	$492	$492	—	—	—	$492 – $492
22	Optum facility · fee schedule · outpatient · +1 other terms	2	$39	$39	$5	13%	—	$34 – $44
23	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	1	$13	$13	—	—	—	$13 – $13
24	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
25	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0

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