Physician recertification for home health care plan

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

PR MD Recertification Hha Patient

Payers reporting HCPCS G0179

Payer pricing summary

Low

$31

Average

$73

Median

$68

High

$179

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	WellCare professional · fee schedule · both · +16 other terms	33	$42	$33	$18	54%	3–30	$0 – $62
2	Molina professional · fee schedule · outpatient · +20 other terms	40	$40	$41	$4	11%	1–10	$33 – $81
3	Cigna professional · fee schedule · outpatient · +21 other terms	37	$42	$55	$26	47%	1–10	$33 – $135
4	Regence professional · fee schedule · outpatient · +6 other terms	33	$40	$64	$30	47%	1–10	$36 – $129
5	Medica professional · fee schedule · outpatient · +12 other terms	22	$46	$48	$8	17%	1–10	$38 – $78
6	Humana fee schedule · outpatient · +23 other terms	150	$48	$136	$132	98%	—	$20 – $396
7	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	126	$124	$136	$66	49%	—	$0 – $290
8	Aetna fee schedule · outpatient · +25 other terms	118	$42	$63	$53	85%	—	$20 – $448
9	UnitedHealthcare fee schedule · outpatient · +26 other terms	117	$43	$60	$40	66%	—	$16 – $193
10	Anthem fee schedule · outpatient · +18 other terms	47	$148	$182	$128	70%	—	$16 – $523
11	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$166	$152	$57	37%	—	$49 – $281
12	Kaiser fee schedule · outpatient · +12 other terms	29	$42	$53	$21	39%	—	$37 – $110
13	Optum professional · fee schedule · outpatient · +12 other terms	27	$45	$43	$3	6%	—	$38 – $47
14	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$92	$75	$20	26%	—	$21 – $99
15	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$26	$28	$9	33%	—	$14 – $54
16	Devoted facility · fee schedule · outpatient · +12 other terms	24	$42	$37	$7	19%	—	$31 – $53
17	Caresource facility · case rate · outpatient · +13 other terms	23	$21	$24	$23	97%	—	$5 – $84
18	Medicare fee schedule · outpatient · +10 other terms	18	$42	$40	$2	4%	—	$37 – $42
19	Ucare professional · fee schedule · outpatient · +8 other terms	18	$42	$42	$10	23%	—	$33 – $78
20	Aetna Better Health fee schedule · outpatient · +9 other terms	17	$41	$91	$100	109%	—	$38 – $352
21	Ambetter fee schedule · both · +14 other terms	17	$52	$69	$11	16%	—	$38 – $105
22	Cigna Healthspring fee schedule · outpatient · +2 other terms	17	$41	$40	$2	4%	—	$37 – $41
23	Highmark fee schedule · outpatient · +13 other terms	17	$55	$54	$13	24%	—	$26 – $138
24	Tricare professional · fee schedule · outpatient · +11 other terms	15	$38	$39	$3	7%	—	$34 – $45
25	Excellus professional · fee schedule · both · +9 other terms	13	$50	$51	$14	27%	—	$34 – $95

Page 1 of 3 · 57 payers