Home visit under care management program

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

Joint replac mod home visit

Payers reporting HCPCS G9490

Payer pricing summary

Low

Average

$66

Median

$51

High

$175

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +9 other terms	126	$81	$163	$146	90%	—	$41 – $420
2	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	90	$140	$160	$62	39%	—	$0 – $310
3	Aetna fee schedule · outpatient · +11 other terms	77	$47	$75	$68	90%	—	$32 – $456
4	UnitedHealthcare fee schedule · outpatient · +11 other terms	66	$47	$54	$15	28%	—	$26 – $81
5	Anthem fee schedule · outpatient · +7 other terms	42	$47	$201	$143	71%	—	$41 – $463
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$178	$163	$60	37%	—	$52 – $300
7	Molina professional · fee schedule · outpatient · +7 other terms	27	$43	$43	$3	6%	—	$43 – $62
8	Cigna fee schedule · outpatient · +9 other terms	26	$48	$55	$22	41%	—	$41 – $144
9	Kaiser fee schedule · outpatient · +4 other terms	25	$48	$47	$2	4%	—	$41 – $48
10	Devoted fee schedule · outpatient · +5 other terms	21	$48	$48	$1	2%	—	$45 – $48
11	Regence professional · fee schedule · outpatient · +1 other terms	21	$43	$47	$13	28%	—	$43 – $112
12	Medicare fee schedule · outpatient · +2 other terms	18	$47	$45	$2	5%	—	$41 – $48
13	WellCare professional · fee schedule · outpatient · +8 other terms	18	$44	$45	$3	6%	—	$42 – $53
14	Wellmark fee schedule · both	13	$62	$61	$11	18%	—	$43 – $68
15	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$44	$43	$1	3%	—	$41 – $44
16	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$197	$162	$75	46%	—	$48 – $246
17	Cigna Healthspring fee schedule · both · +2 other terms	12	$43	$43	$1	1%	—	$43 – $45
18	Highmark fee schedule · outpatient · +4 other terms	12	$47	$50	$14	28%	—	$39 – $150
19	Ambetter facility · fee schedule · outpatient · +6 other terms	11	$85	$77	$13	17%	—	$46 – $85
20	MultiPlan fee schedule · both · +2 other terms	11	$85	$86	$5	6%	—	$75 – $93
21	Medica fee schedule · outpatient · +4 other terms	10	$171	$169	$49	29%	—	$69 – $221
22	Medical Mutual facility · fee schedule · outpatient	10	$47	$58	$12	21%	—	$47 – $75
23	Optum fee schedule · outpatient · +3 other terms	10	$47	$47	$0	1%	—	$47 – $48
24	Oscar fee schedule · outpatient · +1 other terms	10	$34	$38	$34	89%	—	$1 – $83
25	Caresource facility · fee schedule · outpatient · +6 other terms	9	$85	$82	$12	14%	—	$48 – $95

Page 1 of 2 · 50 payers